PARK PLAZA DENTAL
NPI 1154724763
Dentist - General Practice in Petaluma, CA

Q: What is Mona Mahmoodi Dds Inc's NPI number?

The NPI number for Mona Mahmoodi Dds Inc is 1154724763. It was assigned to this organization in the NPPES registry on September 28, 2014. The provider is doing business as Park Plaza Dental.

Q: What is Mona Mahmoodi Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 28, 2014

245 KENTUCKY ST STE E, PETALUMA, CA 94952(707) 763-4142 Get Directions Write a Review

NPPES record last updated: September 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Park Plaza Dental NPPES

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

PARK PLAZA DENTAL (NPI 1154724763) is a healthcare organization registered as a general practice in Petaluma, California and active in the NPI registry since September 2014. The organization lists Mona Mahmoodi, Dds/dentist, as its authorized official.

NPPES Registry Identity

NPI1154724763

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMONA MAHMOODI DDS INC

Location Address245 KENTUCKY ST STE EPetaluma, CA 94952-2877

Mailing Address245 Kentucky St Ste EPetaluma, CA 94952-2877 · (707) 763-4142

Phone(707) 763-4142

Organization SubpartNo

Authorized OfficialMona MahmoodiDds/dentist · (310) 993-5758

Enumeration DateSeptember 28, 2014

✔ NPI 1154724763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 62200

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

245 KENTUCKY ST STE E, Petaluma, CA 94952

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Other Names 1

Doing Business AsPark Plaza Dental

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 6

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

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