Farideh Ghoddusi-Tabarsi, DDS

Dentist · Davis, CA

Individual Active NPI

NPI number 1093759987

Practice location

2051 John Jones Rd
Davis, CA 95616
Phone
(530) 758-1510
Fax
(530) 758-1510

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NPI record

NPI
1093759987
Entity type
Individual (Type 1)
Enumeration date
June 15, 2006
Last updated
December 8, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 39640 CA

Mailing address

2051 John Jones Rd
Davis, CA 95616-9701
Phone
(530) 758-1510
Fax
(530) 758-1510

About Dr. Ghoddusi-Tabarsi

Farideh Ghoddusi-Tabarsi, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2051 John Jones Rd, Davis, CA 95616. The NPI number 1093759987 was assigned on June 15, 2006 and the record was last updated on December 8, 2011.

Dr. Ghoddusi-Tabarsi lists a license in the registry: #39640 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Farideh Ghoddusi-Tabarsi, DDS?

The NPI number is 1093759987.

What is the phone number of Dr. Ghoddusi-Tabarsi?

The phone number listed for the practice location is (530) 758-1510.

Where is Dr. Ghoddusi-Tabarsi located?

2051 John Jones Rd, Davis, CA 95616.

What is the taxonomy code for Dr. Ghoddusi-Tabarsi?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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