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MAKE A SMILE CHILDREN'S DENTAL
NPI 1467877894
Dentist - Pediatric Dentistry in Folsom, CA

Active since February 21, 2014
2260 E BIDWELL ST, SUITE 305, FOLSOM, CA 95630(916) 380-0102 Get Directions Write a Review

NPPES record last updated: August 10, 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 1467877894) is a healthcare organization registered as a pediatric dentistry in Folsom, California and active in the NPI registry since February 2014. The organization lists Monica Tavallaei, Owner, as its authorized official.

NPPES Registry Identity

NPI1467877894
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAVALLAEI DMD CORP
Location Address2260 E BIDWELL ST, SUITE 305Folsom, CA 95630-3463
Mailing Address2241 Sunset Blvd, Suite DRocklin, CA 95765-4295 · (916) 380-0102 · Fax (916) 983-9012
Phone(916) 380-0102
Organization SubpartNo
Authorized OfficialMonica TavallaeiOwner · (916) 781-6550
Enumeration DateFebruary 21, 2014
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1467877894 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.
2260 E BIDWELL ST, Folsom, CA 95630
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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

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.

S. JANG DDS INCORPORATED
Dentist
2260 E BIDWELL ST, # 110
FOLSOM, CA 95630
Sacramento County (916) 984-4224
M. TAVALLAEI, DMD,INC.
Dentist (General Practice)
2260 E BIDWELL ST, SUITE 110
FOLSOM, CA 95630
Sacramento County (916) 984-4224
DR. BRADLEY ROBERT FALKE D.C.
Chiropractor
2260 E BIDWELL ST, STE 108
FOLSOM, CA 95630
Sacramento County (916) 984-6555

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 1467877894. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Make A Smile Children's Dental.

Where is Tavallaei Dmd Corp located?

Tavallaei Dmd Corp is located at 2260 E Bidwell St Suite 305, Folsom, CA 95630. The listed phone number is (916) 380-0102.

What is Tavallaei Dmd Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Tavallaei Dmd Corp 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.