F MOFTAKHAR DDS A PROFESSIONAL CORP


Address: 3301 E 12th St Ste 163, Oakland, CA 94601-2939
Phone: 5105331123

F MOFTAKHAR DDS A PROFESSIONAL CORP (NPI# 1063631109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063631109
Entity Type Organization
Organization Name F MOFTAKHAR DDS A PROFESSIONAL CORP
Other Organization Name BAY AREA DENTAL SPECIALTY GROUP
Practice Address 3301 E 12th St Ste 163
Oakland
CA 94601-2939
Mailing Address 1809 E Eckerman Ave
West Covina
CA 91791-1112
Practice Telephone 5105331123
Practice Fax Number 5104855109
Enumeration Date 2007-04-25
Last Update Date 2008-07-15
Authorized Official Name DR. FARSHAD MOFTAKHAR (OWNER CEO)
Authorized Official Telephone 6262460150
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 1223E0200X Dentist
Specialization: Endodontics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Bay Area Dental Specialty Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447479555 F Moftakhar Dds A Professional Corp Dentist 3301 E 12th St Ste 165, Oakland, CA 94601-2939 2007-04-25

Office Location

Street Address 3301 E 12TH ST STE 163
City OAKLAND
State CA
Zip Code 94601-2939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1730704289 Francheska Baloy Student in an Organized Health Care Education/Training Program 13585 San Pablo, San Pablo, CA 94601 2020-06-10
1104476597 Jonathan Ramos Santiago Social Worker 13585 San Pablo, 1st Floor, San Pablo, CA 94601 2019-09-17
1205329802 Stefany Menjivar Student in an Organized Health Care Education/Training Program 3908 International Blvd, Oakland, CA 94601 2018-06-08
1710408430 Martha Alicia Rea Physician Assistant 3301 E. 12th St, Suite 113, Oakland, CA 94601 2017-07-03
1922528744 Jamie Erin Briskin Social Worker 3001 International Blvd., Oakland, CA 94601 2017-06-22
1194254706 Emily Lohmeyer Student in an Organized Health Care Education/Training Program 1501 Fruitvale Avenue, Oakland, CA 94601 2017-06-07
1124551494 Emily Chana Wolfe-roubatis Midwife 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 2017-04-04
1417327776 Ninfa M. Gutierrez Counselor 3124 International Blvd., Oakland, CA 94601 2015-09-30
1942600424 Reliable Care Express, Inc. Non-emergency Medical Transport (VAN) 828 27th Ave, Oakland, CA 94601 2014-09-03
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265648679 Barry Lai Fong Dentist 447 29th St Ste 109, Oakland, CA 94609-3597 2007-05-15
1902947682 Steven R. Hansen Dentist 1700 Broadway, 10th Fl., Oakland, CA 94612-2116 2007-02-08
1386726743 Alexander Thomas Kim Dentist 485 34th St Ste 200, Oakland, CA 94609-2823 2006-10-19
1609961226 Unes Nabipour Dentist 2930 Summit St., Oakland, CA 94609 2006-10-03
1881706836 Arthur S Panella Dentist 2930 Summit St, Oakland, CA 94609-3405 2006-08-31
1285642355 Phuong N Quang Dentist 2844 Summit Street, Suite 209, Bay Endodontics, Oakland, CA 94609 2006-08-04
1760468656 Ali Allen Rezai Dentist 485 34th St, Suite 200, Oakland, CA 94609-2823 2005-12-21
1225409469 Brent C. Lin, Dds Inc Dentist 3040 E 9th St, Suite D, Oakland, CA 94601-2938 2015-10-14
1013308170 Endo Care Dentist 485 34th St, Suite 200, Oakland, CA 94609-2823 2015-02-11
1902067747 Midori Betty Tachibana Dentist 1624 Franklin St, Suite 1220, Oakland, CA 94612-2897 2008-06-24
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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