ADVANTA DENTAL GROUP
NPI 1104193051
Dentist in Emeryville, CA

Q: What is Advanta Dental Group's NPI number?

The NPI number for Advanta Dental Group is 1104193051. It was assigned to this organization in the NPPES registry on November 21, 2011.

Q: What is Advanta Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 21, 2011

5915 HOLLIS ST STE A, EMERYVILLE, CA 94608(510) 596-9000(510) 596-8800 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanta Dental Group NPPES

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

ADVANTA DENTAL GROUP (NPI 1104193051) is a healthcare organization registered as a dentist in Emeryville, California and active in the NPI registry since November 2011. The organization lists Sepideh Razavi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104193051

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameADVANTA DENTAL GROUP

Location Address5915 HOLLIS ST STE AEmeryville, CA 94608-2066

Mailing Address5915 Hollis St Ste AEmeryville, CA 94608-2066 · (510) 596-9000 · Fax (510) 596-8800

Phone(510) 596-9000

Fax(510) 596-8800

Organization SubpartNo

Authorized OfficialSepideh RazaviDentist · (510) 596-9000

Enumeration DateNovember 21, 2011

✔ NPI 1104193051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 42496

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5915 HOLLIS ST STE A, Emeryville, CA 94608

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Other Identifiers 1

Other42496CA · Dental License

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

Other Providers at the Same Location NPPES 3

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

LEONARDO O SHERBIN DPT

Physical Therapist

5915 HOLLIS ST STE A
EMERYVILLE, CA 94608

Alameda County (510) 923-0700

PACIFIC ORTHOPAEDIC & SPORTS REHABILITATION

Physical Therapist (Orthopedic)

5915 HOLLIS ST STE A
EMERYVILLE, CA 94608

Alameda County (510) 923-0700

LISAMARIE LABELLA

Physical Therapist

5915 HOLLIS ST STE A
EMERYVILLE, CA 94608

Alameda County (510) 923-0700

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 Advanta Dental Group's NPI number?

The NPI number for Advanta Dental Group is 1104193051. It was assigned to this organization in the NPPES registry on November 21, 2011.

Where is Advanta Dental Group located?

Advanta Dental Group is located at 5915 Hollis St Ste A, Emeryville, CA 94608. The listed phone number is (510) 596-9000.

What is Advanta Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Advanta Dental Group was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.