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

Mortazavi Dental Corp

Organization General Practice Dentistry · NPI 1275755811

Mortazavi Dental Corp is a General Practice Dentistry in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4155 Moorpark Ave Ste 10
San Jose, CA 95117
Phone: (408) 247-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 48338 (CA)

Record details

NPI number1275755811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parisa Mortazavi — President · (408) 410-5398
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address7258 Wild Creek Dr., San Jose, CA 95120

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