Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAHDAD NASSIRI, D.D.S
Active Sole ProprietorMAHDAD NASSIRI, D.D.S is a Periodontology healthcare provider located in PETALUMA, California. NPI 1891136768 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PETALUMA, CA
Registration Details
- NPI Number
- 1891136768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2013 (13.146962561418 yrs)
- Last Updated
- Sep 16, 2023
- License
-
DDS100289 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1416 PROFESSIONAL DR STE 202PETALUMA, CA, 949545108Browse CA providers · Browse ZIP 94954
- Phone
- 7077691162
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| MERCEDES A HEITMAN | DDS | 1669550869 |
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.