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

Fardad Tayebaty, DMD

Individual provider General Practice Dentistry · NPI 1396908943

Fardad Tayebaty, DMD is a General Practice Dentistry in Watsonville, California. Licensed in California, Massachusetts, New Jersey and New York. Registered with an NPI since 2008.

Licensed in
CA, MA, NJ, NY
In the registry since
2008
Specialties on file
5
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

390 S Green Valley Rd Ste 7
Watsonville, CA 95076-3077
Phone: (617) 875-3211
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 100912 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 22D102435200 (NJ)
Endodontics Taxonomy 1223E0200X · Licence 22DI02435200 (NJ)
Endodontics Taxonomy 1223E0200X · Licence 055815 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 22292 (MA)

Record details

NPI number1396908943
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESApril 9, 2018

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