Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMANDA HEYDARI BOISEN, DDS
Active Sole ProprietorDR. AMANDA HEYDARI BOISEN, DDS is a Periodontology healthcare provider located in OAKLAND, California. NPI 1104406057 is currently active in the NPPES registry. Verify at CMS.
Periodontology · OAKLAND, CA
Registration Details
- NPI Number
- 1104406057
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2021 (5.3737702148255 yrs)
- Last Updated
- Oct 24, 2025
- License
-
104420 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6333 TELEGRAPH AVE STE 101OAKLAND, CA, 946091359Browse CA providers · Browse ZIP 94609
- Phone
- 5105471300
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LOWELL BRUCE DAVIS | DDS, MS | 1114032349 |
| DR. JOHN YOUNG KWAN | DDS | 1205942992 |
| DR. GLENN M FUJINAKA | D.D.S. | 1407953151 |
| DR. YURI ALEXANDER VEBER | D.D.S., M.S. | 1437245172 |
| DAVID RUSTAMZADEH | DDS, MSD | 1851469712 |
| DR. JONG-HUEY JUDY CHYI | DDS | 1760518674 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.