NPI
Tavallaei DMD Corp
Doing business as Make A Smile Children's Dental. NPI 1417399502
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2013-07-18
- Last updated
- 2022-08-04
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Specialties
Licenses
- License CA
- 48036
Location
- Practice location
- 731 Sterling Pkwy, Suite 100
- City
- Lincoln CA
- Postal code
- 95648-7306
- Phone
- (916) 258-7639
Organization contact
- Name
- Monica Tavallaei
- Title
- Owner
- Phone
- (916) 258-7639
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lincoln, CA. 488 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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