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

Dr. Tirbod Todd Fattahi, MD, DDS

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1093780603

Dr. Tirbod Todd Fattahi, MD, DDS is a Maxillofacial Surgery in Jacksonville, Florida. Graduated from University of Kentucky College of Medicine in 1999, 27 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Trained at
University of Kentucky College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
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

655 W 8th St Ufjp Oral Surgery
Jacksonville, FL 32209-6511
Phone: (904) 244-3901
Fax: (904) 244-3218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence ME85119 (FL)
Dentist Taxonomy 122300000X · Licence DTP368 (FL)

Record details

NPI number1093780603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorNo
NPI enumeratedFebruary 18, 2006
Last updated in NPPESApril 29, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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