OrganizationActive
Tavallaei DMD Corp
NPI 1407690811 · Dental Clinic/Center · Stockton, CA
Tavallaei DMD Corp is a Dental Clinic/Center organization in Stockton, CA (NPI 1407690811).
Provider details
- NPI number
- 1407690811
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Megan Castillo, Admin(916) 781-6550
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5756 Pacific Ave Ste 75a
Stockton, CA 95207-5156
Phone: (916) 984-0304
Street-level locationGet directions
Mailing address
400 Plaza Dr # 120-319
Folsom, CA 95630-4744
Other names (DBA / former)
- Doing business as
- Make a Smile
Registry dates
- Enumerated
- 2024-06-20
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Frequently asked questions
- What is Tavallaei DMD Corp's NPI number?
- Tavallaei DMD Corp's National Provider Identifier (NPI) is 1407690811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tavallaei DMD Corp?
- Tavallaei DMD Corp is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tavallaei DMD Corp located?
- Tavallaei DMD Corp's practice location on file with NPPES is 5756 Pacific Ave Ste 75a, Stockton, CA 95207-5156.
- What is Tavallaei DMD Corp's phone number?
- The practice phone number listed in the NPPES registry for Tavallaei DMD Corp is (916) 984-0304.
- Who is the authorized official for Tavallaei DMD Corp?
- The authorized official listed on Tavallaei DMD Corp's NPPES record is Megan Castillo, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tavallaei DMD Corp's NPI active?
- Yes — Tavallaei DMD Corp's NPI (1407690811) is active in the NPPES registry as of the last update on 2024-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.