MAKE A SMILE
NPI 1134716939
Dentist in Granite Bay, CA

Q: What is Tavallaei, D.M.D., Corporation's NPI number?

The NPI number for Tavallaei, D.M.D., Corporation is 1134716939. It was assigned to this organization in the NPPES registry on December 28, 2020. The provider is doing business as Make A Smile.

Q: What is Tavallaei, D.M.D., Corporation's specialty?

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

Active since December 28, 2020

4060 DOUGLAS BLVD STE 110, GRANITE BAY, CA 95746(916) 260-0646 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Feb 11, 2021, Dec 28, 2020 (3 updates tracked since 2020).

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About Make A Smile NPPES

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

MAKE A SMILE (NPI 1134716939) is a healthcare organization registered as a dentist in Granite Bay, California and active in the NPI registry since December 2020. The organization lists Megan Castillo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1134716939

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameTAVALLAEI, D.M.D., CORPORATION

Location Address4060 DOUGLAS BLVD STE 110Granite Bay, CA 95746-5934

Mailing Address2260 E Bidwell St # 313Folsom, CA 95630-3555

Phone(916) 260-0646

Organization SubpartNo

Authorized OfficialMegan CastilloOperations Manager · (916) 781-6550

Enumeration DateDecember 28, 2020

Last NPPES UpdateAugust 10, 20223 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1134716939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

4060 DOUGLAS BLVD STE 110, Granite Bay, CA 95746

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Other Names 1

Doing Business AsMake A Smile

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

S. JANG DDS INCORPORATED

Dentist

4060 DOUGLAS BLVD STE 110
GRANITE BAY, CA 95746

Placer County (916) 260-0704

DR. FRANCISCO XAVIER CERVANTES SR. DDS

Dentist (General Practice)

4060 DOUGLAS BLVD STE 110
GRANITE BAY, CA 95746

Placer County (916) 789-2273

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 Tavallaei, D.M.D., Corporation's NPI number?

The NPI number for Tavallaei, D.M.D., Corporation is 1134716939. It was assigned to this organization in the NPPES registry on December 28, 2020. The provider is doing business as Make A Smile.

Where is Tavallaei, D.M.D., Corporation located?

Tavallaei, D.M.D., Corporation is located at 4060 Douglas Blvd Ste 110, Granite Bay, CA 95746. The listed phone number is (916) 260-0646.

What is Tavallaei, D.M.D., Corporation's specialty?

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

What insurance does Tavallaei, D.M.D., Corporation accept?

Health plans from UnitedHealthcare list Tavallaei, D.M.D., Corporation 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 Tavallaei, D.M.D., Corporation was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.