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TAHOE ORAL SURGERY
NPI 1053870287
Dentist - Oral and Maxillofacial Surgery in Truckee, CA

Active since March 18, 2019
40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161(530) 541-4042 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tahoe Oral Surgery NPPES

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

TAHOE ORAL SURGERY (NPI 1053870287) is a healthcare organization registered as an oral and maxillofacial surgery in Truckee, California and active in the NPI registry since March 2019. The organization maintains a secondary practice location in South Lake Tahoe and lists Rachel Lynne Appelblatt, General Partner, as its authorized official.

NPPES Registry Identity

NPI1053870287
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTAHOE ORAL SURGERY
Location Address40165 TRUCKEE AIRPORT RD STE 303Truckee, CA 96161-4108
Mailing Address40165 Truckee Airport Rd Ste 303Truckee, CA 96161-4108 · (530) 541-4042
Phone(530) 541-4042
Organization SubpartNo
Authorized OfficialRachel Lynne AppelblattGeneral Partner · (916) 296-9006
Enumeration DateMarch 18, 2019
✔ NPI 1053870287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
40165 TRUCKEE AIRPORT RD STE 303, Truckee, CA 96161
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Secondary Practice Location 1

Location 1591 Tahoe Keys Blvd Ste D4South Lake Tahoe, CA 96150-3359 · Phone (530) 541-4042

Other Identifiers 2

Medicaid1215073804CA
Medicaid1033353511NY

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

Other Providers at the Same Location NPPES

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

MORI NAFTULIN DDS
Dentist (Oral and Maxillofacial Surgery)
40165 TRUCKEE AIRPORT RD STE 303
TRUCKEE, CA 96161
Placer County (530) 587-5440

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 Tahoe Oral Surgery's NPI number?

The NPI number for Tahoe Oral Surgery is 1053870287. It was assigned to this organization in the NPPES registry on March 18, 2019.

Where is Tahoe Oral Surgery located?

Tahoe Oral Surgery is located at 40165 Truckee Airport Rd Ste 303, Truckee, CA 96161. The listed phone number is (530) 541-4042.

What is Tahoe Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Tahoe Oral Surgery was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.