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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FARDAD TAYEBATY, DMD

Active

FARDAD TAYEBATY, DMD is a Endodontics healthcare provider located in WATSONVILLE, California. NPI 1396908943 is currently active in the NPPES registry. Verify at CMS.

Endodontics · WATSONVILLE, CA

Registration Details

NPI Number
1396908943
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2008 (18.106695326915 yrs)
Last Updated
Apr 9, 2018
Licenses
22D102435200 (NJ)
100912 (CA)
22DI02435200 (NJ)
055815 (NY)
22292 (MA)

Practice Information

Address
390 S GREEN VALLEY RD STE 7
WATSONVILLE, CA, 950763077
Browse CA providers · Browse ZIP 95076
Phone
6178753211
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
Additional Specialty
Endodontics
Additional Specialty
Endodontics
Additional Specialty
General Dentistry

Other Endodontics Providers in WATSONVILLE, CA

Name Credential NPI
DR. PHUONG FERN LE D.M.D. 1497839856
DENNIS SHO EGUCHI D.D.S. 1194997478
RANDOLPH ROBERT CROSS DDS 1073807426
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.