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

Mahdad Nassiri, DDS

Individual provider Periodontics · NPI 1891136768

Mahdad Nassiri, DDS is a Periodontics in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

1416 Professional Dr Ste 202
Petaluma, CA 94954-5108
Phone: (707) 769-1162
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DDS100289 (CA)

Record details

NPI number1891136768
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 8, 2013
Last updated in NPPESSeptember 16, 2023
Certification dateSeptember 16, 2023
Mailing address1416 Professional Dr Ste 202, Petaluma, CA 94954-5108

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