TAVALLAEI, D.M.D., CORPORATION


Address: 2241 Sunset Blvd, Suite D, Rocklin, CA 95765-4295
Phone: 9163800102

TAVALLAEI, D.M.D., CORPORATION (NPI# 1871752915) 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) 1871752915
Entity Type Organization
Organization Name TAVALLAEI, D.M.D., CORPORATION
Other Organization Name MAKE A SMILE
Practice Address 2241 Sunset Blvd
Suite D
Rocklin
CA 95765-4295
Practice Telephone 9163800102
Practice Fax Number 9169839012
Mailing Telephone 9163800102
Mailing Fax Number 9169839012
Enumeration Date 2008-06-04
Last Update Date 2016-04-12
Authorized Official Name DR. MONICA TAVALLAEI (PEDIATRIC DENTIST)
Authorized Official Telephone 9163800102
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
48036 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Make a Smile Doing Business As Name - Organization

Other Provider IDs and Locations

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
1538225933 Tavallaei, D.m.d., Corporation Dentist 500 Auburn Folsom Rd, Suite330, Auburn, CA 95603 2006-12-29
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
1184780587 Tavallaei, D.m.d., Corporation Dentist 3840 El Dorado Hills Blvd, Suite 203, El Dorado Hills, CA 95762-4567 2006-12-29

Office Location

Street Address 2241 SUNSET BLVD
SUITE D
City ROCKLIN
State CA
Zip Code 95765-4295

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871591552 Kenneth Andrew Kloos Physical Therapist 2241 Sunset Blvd, Suite A, Rocklin, CA 95765-4230 2005-07-07
1942690516 S. Jang Dds Incorporated Dentist 2241 Sunset Blvd, # E, Rocklin, CA 95765-4295 2015-02-03
1013307719 S.y. Jang Dds Corporatiom Dentist 2241 Sunset Blvd, # D, Rocklin, CA 95765-4295 2015-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537760 Kristine Reymont Case Manager/Care Coordinator 2717 Fleet Circle, Rocklin, CA 95765 2018-08-08
1275063877 Alicia Marie Yost-cardoza Registered Nurse 6459 Cormorant Cir, Rocklin, CA 95765 2017-06-15
1457769457 Jacob Dean Kelly Dentist 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 2014-07-23
1124438270 Denise L. Buchholz Physical Therapist 1924 Mckinley St, Rocklin, CA 95765 2014-04-29
1205198926 Gay Lee Wilhelm Registered Nurse 5508 Rye Court, Rocklin, CA 95765 2012-06-08
1407147341 Michael Knutson Dentist 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 2011-04-26
1184922924 Stephen S Taft V Counselor 6520 Lonetree Blvd # 120, Rocklin, CA 95765 2011-03-03
1326245143 Susan Kathleen Smith Counselor 5402 Sandpiper Ct., Rocklin, CA 95765 2007-06-27
1790986057 Rebound Rehab Physical Therapy, Inc. Physical Therapist 6526 Lonetree Blvd, Rocklin, CA 95765 2007-05-31
1184838351 Darce Aaron Slate Dentist 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 2007-05-09
Find all providers in zip 95765

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184632697 Dennis Roy Peterson Dentist 5420 Park Dr, Rocklin, CA 95765 2006-08-03
1295261600 Rocklin Kids Dentist Dentist 5420 Park Dr, Rocklin, CA 95765-5562 2017-05-04
1013307719 S.y. Jang Dds Corporatiom Dentist 2241 Sunset Blvd, # D, Rocklin, CA 95765-4295 2015-02-02
1588925911 Jessica Alt Dentist 2221 Sunset Blvd, Ste 101, Rocklin, CA 95765-4784 2012-06-01
1558389775 Barry Macdonald Dentist 5410 Park Dr, Rocklin, CA 95765-5562 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385227 Johnson Ann Wong Dental Corporation Dentist 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 2020-10-26
1205440211 Jessica Choi, Dmd, Dental Corporation Dentist 2318 Huntington Dr, San Marino, CA 91108-2641 2020-09-08
1659985802 Rw Fattouch Dmd, Inc. Dentist 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 2020-09-04
1174136998 Armand Begian Dds Inc. Dentist 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 2020-08-31
1164035473 Armand Begian Dds Inc. Dentist 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 2020-08-26
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1396360384 Drs Salem and Soliman Dental Corp Dentist 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 2020-06-15
1689299471 Abhishek Batra Dentist 11052 Evans St, Loma Linda, CA 92354-2709 2020-06-08
1194348060 Bryan Chao Dentist 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 2020-05-26
1255953618 Mohammad Abul-fielat Dds Inc Dentist 3825 Tyler St, Riverside, CA 92503 2020-05-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City ROCKLIN
Zip Code 95765

Improve Information

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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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