EDALAT DDS INC.
NPI 1013577071
Dentist - Endodontics in San Clemente, CA

Active since June 20, 2019
130 AVENIDA CABRILLO STE B, SAN CLEMENTE, CA 92672(949) 409-4080(949) 284-9200 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2019, Jun 20, 2019 (2 updates tracked since 2019).

About Edalat Dds Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDALAT DDS INC. (NPI 1013577071) is a healthcare organization registered as an endodontics in San Clemente, California and active in the NPI registry since June 2019. The organization lists Hossein Edalat, Endodontist-owner, as its authorized official.

NPPES Registry Identity

NPI1013577071
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameEDALAT DDS INC.
Location Address130 AVENIDA CABRILLO STE BSan Clemente, CA 92672-5509
Mailing Address18625 Brookhurst StFountain Valley, CA 92708-6748 · (949) 409-4080 · Fax (949) 284-9200
Fax(949) 284-9200
Organization SubpartNo
Authorized OfficialHossein EdalatEndodontist-owner · (310) 999-8777
Enumeration DateJune 20, 2019
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
NPI 1013577071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
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.
130 AVENIDA CABRILLO STE B, San Clemente, CA 92672

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
130 AVENIDA CABRILLO STE B
SAN CLEMENTE, CA 92672
Dentist
130 AVENIDA CABRILLO STE B
SAN CLEMENTE, CA 92672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edalat Dds Inc.'s NPI number?

The NPI number for Edalat Dds Inc. is 1013577071. It was assigned to this organization in the NPPES registry on June 20, 2019.

Where is Edalat Dds Inc. located?

Edalat Dds Inc. is located at 130 Avenida Cabrillo Ste B, San Clemente, CA 92672. The listed phone number is (949) 409-4080.

What is Edalat Dds Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Edalat Dds Inc. accept?

Health plans from UnitedHealthcare list Edalat Dds Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edalat Dds Inc. was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.