MORI NAFTULIN DDS
NPI 1740714005
Dentist - Oral and Maxillofacial Surgery in Truckee, CA

Active since April 13, 2017Opted out of Medicare · through Jan 7, 2028
40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161(530) 587-5440(530) 541-4443 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2025, Apr 13, 2017 (2 updates tracked since 2017).

About Mori Naftulin Dds NPPES

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

MORI NAFTULIN DDS (NPI 1740714005) is an individual oral and maxillofacial surgery provider in Truckee, California, licensed in California (DDS103163) and active in the NPI registry since April 2017. She has opted out of Medicare through January 7, 2028.

NPPES Registry Identity

NPI1740714005
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameMORI NAFTULINCredential: DDS
Location Address40165 TRUCKEE AIRPORT RD STE 303Truckee, CA 96161-4108
Mailing Address40165 Truckee Airport Rd Ste 303Truckee, CA 96161-4108 · (530) 587-5440 · Fax (530) 541-4443
Fax(530) 541-4443
Sole ProprietorNo
Enumeration DateApril 13, 2017
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1740714005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · DDS103163
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

40165 TRUCKEE AIRPORT RD STE 303, Truckee, CA 96161

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mori Naftulin Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2026 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2026
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
40165 TRUCKEE AIRPORT RD STE 303
TRUCKEE, CA 96161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740714005, enumerated as an "individual" on April 13, 2017.

The provider is located at 40165 TRUCKEE AIRPORT RD STE 303 TRUCKEE, CA 96161 and the phone number is (530) 587-5440.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Humana. Please consult your insurance carrier or call the provider to verify.