OrganizationActive
Tavallaei DMD Corp
NPI 1417399502 · Pediatric Dentistry · Lincoln, CA
Tavallaei DMD Corp is a Pediatric Dentistry organization in Lincoln, CA (NPI 1417399502).
Provider details
- NPI number
- 1417399502
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Monica Tavallaei, Owner(916) 258-7639
- License
- 48036 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
731 Sterling Pkwy
Suite 100
Lincoln, CA 95648-7306
Phone: (916) 258-7639
Fax: (916) 983-9012
Street-level locationGet directions
Mailing address
2260 E Bidwell St
Folsom, CA 95630-3463
Other names (DBA / former)
- Doing business as
- Make a Smile Children'S Dental
Registry dates
- Enumerated
- 2013-07-18
- Last updated
- 2022-08-04
- Certified
- 2022-06-24
Frequently asked questions
- What is Tavallaei DMD Corp's NPI number?
- Tavallaei DMD Corp's National Provider Identifier (NPI) is 1417399502, 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 Pediatric Dentistry (Dental Providers).
- Where is Tavallaei DMD Corp located?
- Tavallaei DMD Corp's practice location on file with NPPES is 731 Sterling Pkwy, Lincoln, CA 95648-7306.
- What is Tavallaei DMD Corp's phone number?
- The practice phone number listed in the NPPES registry for Tavallaei DMD Corp is (916) 258-7639.
- Who is the authorized official for Tavallaei DMD Corp?
- The authorized official listed on Tavallaei DMD Corp's NPPES record is Monica Tavallaei, Owner. 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 (1417399502) is active in the NPPES registry as of the last update on 2022-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.