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MAKE A SMILE CHILDREN'S DENTAL
NPI 1417399502
Dentist - Pediatric Dentistry in Lincoln, CA

Active since July 18, 2013
731 STERLING PKWY, SUITE 100, LINCOLN, CA 95648(916) 258-7639(916) 983-9012 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Make A Smile Children's Dental NPPES

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

MAKE A SMILE CHILDREN'S DENTAL (NPI 1417399502) is a healthcare organization registered as a pediatric dentistry in Lincoln, California and active in the NPI registry since July 2013. The organization lists Monica Tavallaei, Owner, as its authorized official.

NPPES Registry Identity

NPI1417399502
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAVALLAEI DMD CORP
Location Address731 STERLING PKWY, SUITE 100Lincoln, CA 95648-7306
Mailing Address2260 E Bidwell St, Suite 310Folsom, CA 95630-3463 · (916) 258-7639 · Fax (916) 983-9012
Phone(916) 258-7639
Fax(916) 983-9012
Organization SubpartNo
Authorized OfficialMonica TavallaeiOwner · (916) 258-7639
Enumeration DateJuly 18, 2013
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1417399502 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 · 48036
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.
731 STERLING PKWY, Lincoln, CA 95648
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Other Names 1

Doing Business AsMake A Smile Children's 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

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.Y. JANG DDS CORPORATIOM
Dentist (Pediatric Dentistry)
731 STERLING PKWY, # 100
LINCOLN, CA 95648
Placer County (916) 644-0833
S. JANG DDS INCORPORATED
Dentist (Pediatric Dentistry)
731 STERLING PKWY, SUITE # 100
LINCOLN, CA 95648
Placer County (916) 984-4224

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 Dmd Corp's NPI number?

The NPI number for Tavallaei Dmd Corp is 1417399502. It was assigned to this organization in the NPPES registry on July 18, 2013. The provider is doing business as Make A Smile Children's Dental.

Where is Tavallaei Dmd Corp located?

Tavallaei Dmd Corp is located at 731 Sterling Pkwy Suite 100, Lincoln, CA 95648. The listed phone number is (916) 258-7639.

What is Tavallaei Dmd Corp's specialty?

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

What insurance does Tavallaei Dmd Corp accept?

Health plans from UnitedHealthcare list Tavallaei Dmd Corp 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 Dmd Corp was last updated on August 4, 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.