Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanta Dental Group

Organization Dentist · NPI 1104193051

Advanta Dental Group is a Dentist in Emeryville, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

5915 Hollis St Ste A
Emeryville, CA 94608-2066
Phone: (510) 596-9000
Fax: (510) 596-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 42496 (CA)

Record details

NPI number1104193051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sepideh Razavi — Dentist · (510) 596-9000
NPI enumeratedNovember 21, 2011
Last updated in NPPESNovember 21, 2011
Mailing address5915 Hollis St Ste A, Emeryville, CA 94608-2066

Other providers in Emeryville