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

Dr. Moham M Ansari, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649718578

Dr. Moham M Ansari, DDS is a Student in an Organized Health Care Education/Training Program in North Highlands, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

4815 Watt Ave
North Highlands, CA 95660-5108
Phone: (855) 354-2242
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 102994 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649718578
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 11, 2017
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address7210 Murray Dr, Stockton, CA 95210-3339

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