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TAVALLAEI, D.M.D., CORPORATION
NPI 1740795657
Dentist - Pediatric Dentistry in Fairfield, CA

Active since December 14, 2017
1955 W TEXAS ST STE 2A, FAIRFIELD, CA 94533(916) 707-7973 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tavallaei, D.m.d., Corporation NPPES

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

TAVALLAEI, D.M.D., CORPORATION (NPI 1740795657) is a healthcare organization registered as a pediatric dentistry in Fairfield, California and active in the NPI registry since December 2017. The organization lists Megan Castillo, Manager, as its authorized official.

NPPES Registry Identity

NPI1740795657
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAVALLAEI, D.M.D., CORPORATION
Location Address1955 W TEXAS ST STE 2AFairfield, CA 94533-4462
Mailing Address2260 E Bidwell St # 311Folsom, CA 95630-3555 · (916) 781-6550
Phone(916) 707-7973
Organization SubpartNo
Authorized OfficialMegan CastilloManager · (916) 781-6550
Enumeration DateDecember 14, 2017
Last NPPES UpdateDecember 15, 2017
✔ NPI 1740795657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 48036
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.
1955 W TEXAS ST STE 2A, Fairfield, CA 94533
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 1740795657. It was assigned to this organization in the NPPES registry on December 14, 2017.

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

Tavallaei, D.M.D., Corporation is located at 1955 W Texas St Ste 2A, Fairfield, CA 94533. The listed phone number is (916) 707-7973.

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 December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.