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

Mona Momeni Moghaddam

Individual provider Pediatric Dentistry · NPI 1457044323

Mona Momeni Moghaddam is a Pediatric Dentistry in Stockton, California. Licensed in California and Michigan. Registered with an NPI since 2023.

Licensed in
CA, MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

616 W Hammer Ln Ste B
Stockton, CA 95210-3749
Phone: (209) 634-4092
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 112043 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 2901602400 (MI)

Record details

NPI number1457044323
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2023
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address4229 Belcarra Ct, Dublin, CA 94568-7807

Other providers in Stockton