IndividualActive
Bardia Sinaei
NPI 1104200690 · General Practice Dentistry · Prescott, AZ
Provider details
- NPI number
- 1104200690
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D10289 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3124 Willow Creek Rd
Prescott, AZ 86301-6610
Phone: (928) 350-6226
Street-level locationGet directions
Mailing address
3124 Willow Creek Rd
Prescott, AZ 86301-6610
Additional practice locations (1)
- 11 Rossanley DrMedford, OR 97501-1713Phone: (458) 206-0940
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2018-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.