Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALIREZA SADRE-NASSIRI, D.M.D.
ActiveDR. ALIREZA SADRE-NASSIRI, D.M.D. is a Pediatric Dentistry healthcare provider located in LAKEPORT, California. NPI 1740544303 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LAKEPORT, CA
Registration Details
- NPI Number
- 1740544303
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2012 (14.332014609915 yrs)
- Last Updated
- Aug 1, 2025
- Licenses
-
056780 (NY)60737991 (WA)056780 (NY)109541 (CA)
Practice Information
- Address
-
925 BEVINS CTLAKEPORT, CA, 954539754Browse CA providers · Browse ZIP 95453
- Phone
- 7072638382
- Fax
- 7072635326
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
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.