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

Individual provider Dentist · NPI 1053630780

Ardavan Fateh is a Dentist in San Francisco, California. Licensed in California, Colorado and Massachusetts. Registered with an NPI since 2010.

Licensed in
CA, CO, MA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

2355 Ocean Ave
San Francisco, CA 94127-2600
Phone: (415) 333-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 60303 (CA)
Dentist Taxonomy 122300000X · Licence DL10896 (MA)
Periodontics Taxonomy 1223P0300X · Licence 00201945 (CO)

Record details

NPI number1053630780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESSeptember 16, 2015
Mailing address2355 Ocean Ave, San Francisco, CA 94127-2600

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