MAKE A SMILE DENTAL
NPI 1508349606
Dentist - Pediatric Dentistry in Citrus Heights, CA

Active since September 13, 2018
6406 SUNRISE BLVD STE A, CITRUS HEIGHTS, CA 95610(916) 306-0333 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2022, Sep 13, 2018 (2 updates tracked since 2018).

About Make A Smile Dental NPPES

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

MAKE A SMILE DENTAL (NPI 1508349606) is a healthcare organization registered as a pediatric dentistry in Citrus Heights, California and active in the NPI registry since September 2018. The organization lists Megan Castillo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1508349606
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAVALLAEI, D.M.D., CORPORATION
Location Address6406 SUNRISE BLVD STE ACitrus Heights, CA 95610-5992
Mailing Address2260 E Bidwell StFolsom, CA 95630-3555 · (916) 781-6550
Organization SubpartNo
Authorized OfficialMegan CastilloOperations Manager · (916) 781-6550
Enumeration DateSeptember 13, 2018
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
NPI 1508349606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
6406 SUNRISE BLVD STE A, Citrus Heights, CA 95610

Other Names 1

Doing Business AsMake A Smile Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 1508349606. It was assigned to this organization in the NPPES registry on September 13, 2018. The provider is doing business as Make A Smile Dental.

Where is Tavallaei, D.M.D., Corporation located?

Tavallaei, D.M.D., Corporation is located at 6406 Sunrise Blvd Ste A, Citrus Heights, CA 95610. The listed phone number is (916) 306-0333.

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 5, 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.