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MAKE A SMILE
NPI 1386159879
Dentist - Pediatric Dentistry in San Ramon, CA

Active since December 06, 2017
9130 ALCOSTA BLVD STE A, SAN RAMON, CA 94583(925) 402-4141(916) 983-9012 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Dec 6, 2017 (2 updates tracked since 2017).

About Make A Smile NPPES

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

MAKE A SMILE (NPI 1386159879) is a healthcare organization registered as a pediatric dentistry in San Ramon, California and active in the NPI registry since December 2017. The organization lists Megan Castillo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1386159879
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAVALLAEI, D.M.D., CORPORATION
Location Address9130 ALCOSTA BLVD STE ASan Ramon, CA 94583-3847
Mailing Address2260 E Bidwell St Ste 310Folsom, CA 95630-3555
Phone(925) 402-4141
Fax(916) 983-9012
Organization SubpartNo
Authorized OfficialMegan CastilloOperations Manager · (916) 781-6550
Enumeration DateDecember 6, 2017
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1386159879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 1700020026
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
9130 ALCOSTA BLVD STE A, San Ramon, CA 94583
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Other Names 1

Doing Business AsMake A Smile

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

DR. JOSEPH MAURICE KING DDS
Dentist
9130 ALCOSTA BLVD STE A
SAN RAMON, CA 94583
Contra Costa County (925) 803-9700
MRS. YEN HAI NGUYEN-LENK DMD
Dentist (General Practice)
9130 ALCOSTA BLVD STE A
SAN RAMON, CA 94583
Contra Costa County (925) 803-9700
KSHAMA KHENY BDS
Dentist (General Practice)
9130 ALCOSTA BLVD STE A
SAN RAMON, CA 94583
Contra Costa County (925) 803-9700
BORIS LA NOIRE
Dentist
9130 ALCOSTA BLVD STE A
SAN RAMON, CA 94583
Contra Costa County (925) 230-9414

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 1386159879. It was assigned to this organization in the NPPES registry on December 6, 2017. 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 9130 Alcosta Blvd Ste A, San Ramon, CA 94583. The listed phone number is (925) 402-4141.

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

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

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 3 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.