TAVALLAEI, D.M.D., CORPORATION (NPI# 1538225933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538225933 |
| Entity Type | Organization |
| Organization Name | TAVALLAEI, D.M.D., CORPORATION |
| Other Organization Name | MAKE A SMILE |
| Practice Address |
500 Auburn Folsom Rd Suite330 Auburn CA 95603 |
| Practice Telephone | 5303683685 |
| Practice Fax Number | 9169839012 |
| Mailing Telephone | 5303683685 |
| Mailing Fax Number | 9169839012 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | MS. MONICA TAVALLAEI (OWNER) |
| Authorized Official Telephone | 5303683685 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
48036 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Make a Smile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349606 | Tavallaei, D.m.d., Corporation | Dentist | 6406 Sunrise Blvd Ste A, Citrus Heights, CA 95610-5992 | 2018-09-13 |
| 1740795657 | Tavallaei, D.m.d., Corporation | Dentist | 1955 W Texas St Ste 2a, Fairfield, CA 94533-4462 | 2017-12-14 |
| 1386159879 | Tavallaei, D.m.d., Corporation | Dentist | 111 Deerwood Rd Ste 130a, San Ramon, CA 94583-4409 | 2017-12-06 |
| 1922261882 | Tavallaei, D.m.d., Corporation | Dentist | 9585 Laguna Springs Dr, Suite 120, Elk Grove, CA 95758-7969 | 2008-07-09 |
| 1538225503 | Tavallaei, D.m.d., Corporation | Dentist | 2190 E. Bidwell St., Folsom, CA 95630 | 2006-12-28 |
| 1194107748 | Tavallaei, D.m.d., Corporation | Dentist | 7227 29th St, Sacramento, CA 95822-5005 | 2015-06-19 |
| 1992008098 | Tavallaei, D.m.d., Corporation | Dentist | 3433 Arden Way, Sacramento, CA 95825-2018 | 2010-12-10 |
| 1871752915 | Tavallaei, D.m.d., Corporation | Dentist | 2241 Sunset Blvd, Suite D, Rocklin, CA 95765-4295 | 2008-06-04 |
| 1184780587 | Tavallaei, D.m.d., Corporation | Dentist | 3840 El Dorado Hills Blvd, Suite 203, El Dorado Hills, CA 95762-4567 | 2006-12-29 |
| Street Address |
500 AUBURN FOLSOM RD SUITE330 |
| City | AUBURN |
| State | CA |
| Zip Code | 95603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790295632 | S. Jang Dds Incorporated | Dentist | 500 Auburn Folsom Rd Ste 330b, Auburn, CA 95603-5645 | 2017-10-05 |
| 1497933253 | East Alabama Pediatric Dentistry & Orthodontics | Dentist | 742 N Dean Rd, Auburn, AL 36830-4300 | 2008-02-04 |
| 1063618528 | Auburn Pediatric Dentistry | Dentist | 841 North Dean Road, Auburn, AL 36830 | 2007-06-22 |
| 1760683577 | David Mark Seman | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2007-05-30 |
| 1528148236 | Charles Rew Greenleaf Sr. | Dentist | 841 North Dean Rd., Auburn, AL 36830 | 2006-10-17 |
| 1659801470 | Paolo A. Poidmore and Brian C. Crawford, A Dental Corporation | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2017-06-14 |
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| 1962797217 | Abraham Jordan Priestley | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2011-06-15 |
| 1144556127 | J. Lothyan, D.d.s., P.l.l.c. | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-10-26 |
| 1942533351 | Kent Nuttall Dmd Ps | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-09-16 |
| Find all providers in AUBURN | ||||
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| 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.