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DR. HOMAYOON FOTOVATJAH DDS
NPI 1730315375
Dentist - General Practice in Renton, WA

Active since June 10, 2009
1314 UNION AVE NE, #8, RENTON, WA 98059(425) 227-9774 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Homayoon Fotovatjah Dds NPPES

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

DR. HOMAYOON FOTOVATJAH DDS (NPI 1730315375) is an individual general practice provider in Renton, Washington, licensed in Washington (DE00006854) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1730315375
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HOMAYOON FOTOVATJAHCredential: DDS
Location Address1314 UNION AVE NE, #8Renton, WA 98059-3959
Mailing Address1314 Union Ave Ne, #8Renton, WA 98059-3959 · (425) 227-9774
Phone(425) 227-9774
Sole ProprietorYes
Enumeration DateJune 10, 2009
✔ NPI 1730315375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00006854
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.
1314 UNION AVE NE, Renton, WA 98059
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Other Identifiers 1

Medicaid5019823WA

Other Providers at the Same Location NPPES

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

SUNSET DENTAL CENTER
Dentist
1314 UNION AVE NE, SUITE 8
RENTON, WA 98059
King County (425) 227-9774

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 Homayoon Fotovatjah's NPI number?

The NPI number for Homayoon Fotovatjah is 1730315375. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Homayoon Fotovatjah located?

Homayoon Fotovatjah practices at 1314 Union Ave NE #8, Renton, WA 98059. The listed phone number is (425) 227-9774.

What is Homayoon Fotovatjah'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 Homayoon Fotovatjah was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.