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

Dr. Omid Mirfendereski, DDS, MPH

Individual provider Pediatric Dentistry · NPI 1891369641

Dr. Omid Mirfendereski, DDS, MPH is a Pediatric Dentistry in San Rafael, California. Licensed in California. Registered with an NPI since 2021.

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.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

3110 Kerner Blvd
San Rafael, CA 94901-5411
Phone: (415) 448-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 106243 (CA)

Record details

NPI number1891369641
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MPH
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESJune 16, 2024
Certification dateJune 16, 2024

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