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

Tavallaei DMD Corp

Organization Pediatric Dentistry · NPI 1417399502

Tavallaei DMD Corp is a Pediatric Dentistry in Lincoln, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

731 Sterling Pkwy Ste 100
Lincoln, CA 95648-7306
Phone: (916) 258-7639
Fax: (916) 983-9012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 48036 (CA)

Record details

NPI number1417399502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Tavallaei — Owner · (916) 258-7639
Other names Make A Smile Children'S Dental
NPI enumeratedJuly 18, 2013
Last updated in NPPESAugust 4, 2022
Certification dateJune 24, 2022
Mailing address2260 E Bidwell St, Suite 310, Folsom, CA 95630-3463

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