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

Fardad Tayebaty DMD Inc

Organization Endodontics · NPI 1114439015

Fardad Tayebaty DMD Inc is an Endodontics in Watsonville, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

390 S Green Valley Rd Ste 7
Watsonville, CA 95076-3077
Phone: (831) 536-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 100912 (CA)

Record details

NPI number1114439015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fardad Tayebaty — President · (617) 875-3211
NPI enumeratedOctober 31, 2017
Last updated in NPPESOctober 31, 2017
Mailing address5700 Village Oaks Dr Apt 1408, San Jose, CA 95123-3778

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