Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEX TAVASOLI, MS, DMD
ActiveALEX TAVASOLI, MS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in NEWARK, California. NPI 1578253324 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · NEWARK, CA
Registration Details
- NPI Number
- 1578253324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2023 (3.2478253329211 yrs)
- Last Updated
- May 15, 2024
- Licenses
-
019.034424 (IL)019.034424 (IL)
Practice Information
- Address
-
35168 BLACKBURN DRIVENEWARK, CA, 94560Browse CA providers · Browse ZIP 94560
- Phone
- 6504512035
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.