OrganizationActive
Advanta Dental Group
NPI 1104193051 · Dentist · Emeryville, CA
Advanta Dental Group is a Dentist organization in Emeryville, CA (NPI 1104193051).
Provider details
- NPI number
- 1104193051
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sepideh Razavi, Dentist(510) 596-9000
- License
- 42496 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5915 Hollis St Ste a
Emeryville, CA 94608-2066
Phone: (510) 596-9000
Fax: (510) 596-8800
Street-level locationGet directions
Mailing address
5915 Hollis St Ste a
Emeryville, CA 94608-2066
Registry dates
- Enumerated
- 2011-11-21
- Last updated
- 2011-11-21
Frequently asked questions
- What is Advanta Dental Group's NPI number?
- Advanta Dental Group's National Provider Identifier (NPI) is 1104193051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanta Dental Group?
- Advanta Dental Group is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Advanta Dental Group located?
- Advanta Dental Group's practice location on file with NPPES is 5915 Hollis St Ste a, Emeryville, CA 94608-2066.
- What is Advanta Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Advanta Dental Group is (510) 596-9000.
- Who is the authorized official for Advanta Dental Group?
- The authorized official listed on Advanta Dental Group's NPPES record is Sepideh Razavi, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanta Dental Group's NPI active?
- Yes — Advanta Dental Group's NPI (1104193051) is active in the NPPES registry as of the last update on 2011-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.