PARK PLAZA DENTAL - NPI 1720483225 - Dentist in Petaluma, CA

Q: What is Park Plaza Dental's NPI number?

The NPI number for Park Plaza Dental is 1720483225. It was assigned to this organization in the NPPES registry on October 27, 2014.

Q: What is Park Plaza Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Park Plaza Dental was last updated on October 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Park Plaza Dental NPPES

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

PARK PLAZA DENTAL (NPI 1720483225) is a healthcare organization registered as a dentist in Petaluma, California and active in the NPI registry since October 2014. The organization lists Mona Mahmoodi, Dds, as its authorized official.

NPPES Registry Identity

NPI1720483225

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePARK PLAZA DENTAL

Location Address245 KENTUCKY ST STE EPetaluma, CA 94952-2877

Mailing Address245 Kentucky St Ste EPetaluma, CA 94952-2877 · (707) 763-4142

Phone(707) 763-4142

Organization SubpartNo

Authorized OfficialMona MahmoodiDds · (310) 993-5758

Enumeration DateOctober 27, 2014

✔ NPI 1720483225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 62200

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

245 KENTUCKY ST STE E, Petaluma, CA 94952

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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

Other Providers at the Same Location NPPES 6

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

MONA MAHMOODI DDS INC

Dentist (General Practice)