Mahnaz M. Heydari, DDS

Dentist · Vallejo, CA

Individual Active NPI

NPI number 1548355571

Practice location

2920 Sonoma Blvd
Suite a
Vallejo, CA 94590
Phone
(707) 558-2000
Fax
(707) 644-3507

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NPI record

NPI
1548355571
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
August 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DDS53997 CA
Dentist 122300000X 53997 CA

Mailing address

1601 Fruitvale Ave
Oakland, CA 94601-2322
Phone
(510) 535-4000
Fax
(510) 535-4128

Other practice locations (1)

  • 321 1st St, Benicia, CA 94510-3268 · (510) 579-4479

About Dr. Heydari

Mahnaz M. Heydari, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2920 Sonoma Blvd, Suite a, Vallejo, CA 94590. The NPI number 1548355571 was assigned on October 4, 2006 and the record was last updated on August 17, 2018.

Dr. Heydari lists 2 licenses in the registry: #DDS53997 (CA) for Dentist; #53997 (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 Mahnaz M. Heydari, DDS?

The NPI number is 1548355571.

What is the phone number of Dr. Heydari?

The phone number listed for the practice location is (707) 558-2000.

Where is Dr. Heydari located?

2920 Sonoma Blvd, Suite a, Vallejo, CA 94590.

What is the taxonomy code for Dr. Heydari?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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