BAY AREA DENTAL SPECIALTY GROUP
NPI 1063631109
Dentist - Endodontics in Oakland, CA

Active since April 25, 2007
3301 E 12TH ST STE 163, OAKLAND, CA 94601(510) 533-1123(510) 485-5109 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Area Dental Specialty Group NPPES

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

BAY AREA DENTAL SPECIALTY GROUP (NPI 1063631109) is a healthcare organization registered as an endodontics in Oakland, California and active in the NPI registry since April 2007. The organization lists Farshad Moftakhar, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1063631109
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameF MOFTAKHAR DDS A PROFESSIONAL CORP
Location Address3301 E 12TH ST STE 163Oakland, CA 94601-2939
Mailing Address1809 E Eckerman AveWest Covina, CA 91791-1112
Fax(510) 485-5109
Organization SubpartNo
Authorized OfficialFarshad MoftakharOwner Ceo · (626) 246-0150
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 15, 2008
NPI 1063631109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
3301 E 12TH ST STE 163, Oakland, CA 94601

Other Names 1

Doing Business AsBay Area Dental Specialty Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 F Moftakhar Dds A Professional Corp's NPI number?

The NPI number for F Moftakhar Dds A Professional Corp is 1063631109. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Bay Area Dental Specialty Group.

Where is F Moftakhar Dds A Professional Corp located?

F Moftakhar Dds A Professional Corp is located at 3301 E 12th St Ste 163, Oakland, CA 94601. The listed phone number is (510) 533-1123.

What is F Moftakhar Dds A Professional Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for F Moftakhar Dds A Professional Corp was last updated on July 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.