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

Dr. Amanda Heydari Boisen, DDS

Individual provider Periodontics · NPI 1104406057

Dr. Amanda Heydari Boisen, DDS is a Periodontics in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6333 Telegraph Ave Ste 101
Oakland, CA 94609-1359
Phone: (510) 547-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 104420 (CA)

Record details

NPI number1104406057
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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