TAVALLAEI, D.M.D., CORPORATION


Address: 9585 Laguna Springs Dr, Suite 120, Elk Grove, CA 95758-7969
Phone: 9162713737

TAVALLAEI, D.M.D., CORPORATION (NPI# 1922261882) 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) 1922261882
Entity Type Organization
Organization Name TAVALLAEI, D.M.D., CORPORATION
Other Organization Name MAKE A SMILE
Practice Address 9585 Laguna Springs Dr
Suite 120
Elk Grove
CA 95758-7969
Practice Telephone 9162713737
Mailing Telephone 9162713737
Enumeration Date 2008-07-09
Last Update Date 2011-01-18
Authorized Official Name DR. MONICA TAVALLAEI (OWNER)
Authorized Official Telephone 9162713737
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 9585 LAGUNA SPRINGS DR
SUITE 120
City ELK GROVE
State CA
Zip Code 95758-7969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831589530 S.y. Jang Dds Corporatiom Dentist 9585 Laguna Springs Dr, # 120, Elk Grove, CA 95758-7969 2015-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982244208 Obia Njoku Nurse Practitioner 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 2020-01-14
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1447737333 Elk Grove Rehab & Counseling Center Counselor 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 2018-07-24
1114424579 Arielle Mize Dietitian, Registered 8161 Sheldon Road, #103, Elk Grove, CA 95758 2018-04-11
1154822609 Eston Garcia Behavior Technician 2366 Martime Drive, Elk Grove, CA 95758 2018-02-21
1912406364 Nicole Torneros Behavior Technician 2336 Maritime Drive, Elk Grove, CA 95758 2018-02-12
1134628712 Northern California Vasectomy Family Medicine 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 2018-02-08
1083134399 Uchechi Mbonu Assisted Living Facility 7019 Mcgill Court, Elk Grove, CA 95758 2017-06-27
1922557362 Muhanad Aliakbar Driver 8275 Oakbriar Cir, Elk Grove, CA 95758 2016-09-27
1063868123 Teresa Vinciguerra Marriage & Family Therapist 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 2016-05-09
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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
1750772828 S. Jang Dds Incorporated Dentist 9184 E Stockton Blvd Ste B, Elk Grove, CA 95624-9510 2015-02-11
1407167943 Scott Pyo Dentist 5010 Laguna Blvd, Elk Grove, CA 95758 2010-06-30
1699778258 Janice Rene Work Dentist 9045 Bruceville Rd, Ste 180, Elk Grove, CA 95758 2005-05-27
1831589530 S.y. Jang Dds Corporatiom Dentist 9585 Laguna Springs Dr, # 120, Elk Grove, CA 95758-7969 2015-02-02
1386985208 Janice R Work Dds /a Professional Dental Corporation Dentist 9045 Bruceville Rd, 180, Elk Grove, CA 95758-5948 2013-03-04
1891006128 Winston Lin Dentist 9640 Bruceville Rd, 101, Elk Grove, CA 95757-5936 2010-07-01

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
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Competitor

Search similar providers

City ELK GROVE
Zip Code 95758

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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