OrganizationActive
Park Plaza Dental
NPI 1720483225 · Dentist · Petaluma, CA
Park Plaza Dental is a Dentist organization in Petaluma, CA (NPI 1720483225).
Provider details
- NPI number
- 1720483225
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mona Mahmoodi, DDS(310) 993-5758
- License
- 62200 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
245 Kentucky St Ste E
Petaluma, CA 94952-2877
Phone: (707) 763-4142
Street-level locationGet directions
Mailing address
245 Kentucky St Ste E
Petaluma, CA 94952-2877
Registry dates
- Enumerated
- 2014-10-27
- Last updated
- 2014-10-27
Frequently asked questions
- What is Park Plaza Dental's NPI number?
- Park Plaza Dental's National Provider Identifier (NPI) is 1720483225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Plaza Dental?
- Park Plaza Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Plaza Dental located?
- Park Plaza Dental's practice location on file with NPPES is 245 Kentucky St Ste E, Petaluma, CA 94952-2877.
- What is Park Plaza Dental's phone number?
- The practice phone number listed in the NPPES registry for Park Plaza Dental is (707) 763-4142.
- Who is the authorized official for Park Plaza Dental?
- The authorized official listed on Park Plaza Dental's NPPES record is Mona Mahmoodi, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Plaza Dental's NPI active?
- Yes — Park Plaza Dental's NPI (1720483225) is active in the NPPES registry as of the last update on 2014-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.