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

Tavallaei, DMD, Corporation

Organization Pediatric Dentistry · NPI 1194107748

Tavallaei, DMD, Corporation is a Pediatric Dentistry in Sacramento, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

7227 29th St Ste A
Sacramento, CA 95822-5005
Phone: (916) 984-0304
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 number1194107748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Castillo — Operations Manager · (916) 781-6550
NPI enumeratedJune 19, 2015
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address2260 E Bidwell St, 309, Folsom, CA 95630-3463

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