Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAIS NASSERALLAH
NPI 1477469500
Dentist - General Practice in Modesto, CA

Q: What is Mais Nasserallah's NPI number?

The NPI number for Mais Nasserallah is 1477469500. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Q: What is Mais Nasserallah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mais Nasserallah was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 19, 2026

4400 DURANCE DR, MODESTO, CA 95356(209) 918-4633 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mais Nasserallah NPPES

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

MAIS NASSERALLAH (NPI 1477469500) is an individual general practice provider in Modesto, California, licensed in California (DDS111218) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1477469500

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMAIS NASSERALLAH

Location Address4400 DURANCE DRModesto, CA 95356-8404

Mailing Address4400 Durance DrModesto, CA 95356-8404 · (209) 918-4633

Phone(209) 918-4633

Sole ProprietorNo

Enumeration DateAugust 19, 2026

NPPES CertifiedAugust 19, 2026

✔ NPI 1477469500 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 · DDS111218

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.

4400 DURANCE DR, Modesto, CA 95356

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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 Mais Nasserallah's NPI number?

The NPI number for Mais Nasserallah is 1477469500. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Mais Nasserallah located?

Mais Nasserallah practices at 4400 Durance Dr, Modesto, CA 95356. The listed phone number is (209) 918-4633.

What is Mais Nasserallah's specialty?

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

When was this NPI record last updated?

The NPPES record for Mais Nasserallah was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.