| Dr Mark Majid Tavakoli, DDS, MS | |
| 
					310 N Civic Dr Apt 501, Walnut Creek, CA 94596-3694  | |
| (925) 285-2125 | |
| Not Available | 
| Full Name | Dr Mark Majid Tavakoli | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 310 N Civic Dr Apt 501, Walnut Creek, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013482868 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 39568 (California) | Primary | 
| Entity Name | Mark Tavakoli Dds Dental Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528715570 PECOS PAC ID: 2668859455 Enrollment ID: O20220517001325  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark Majid Tavakoli, DDS, MS 310 N Civic Dr Apt 501, Walnut Creek, CA 94596-3694 Ph: (925) 285-2125  | Dr Mark Majid Tavakoli, DDS, MS 310 N Civic Dr Apt 501, Walnut Creek, CA 94596-3694 Ph: (925) 285-2125  | 
Dr. Tim J Patel, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1818 San Miguel Dr, Walnut Creek, CA 94596 Phone: 925-945-7366  | |
Dr. Alireza Moheb, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1844 San Miguel Dr, # 206, Walnut Creek, CA 94596 Phone: 925-279-3326 Fax: 925-279-2270  | |
Noor Aljanabi,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 2915 Santos Ln, Walnut Creek, CA 94597 Phone: 512-772-9359  | |
Dr. Lan-anh Ho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-934-8668  | |
Dr. Thomas Arthur King, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2021 Ygnacio Valley Rd, Suite H-201, Walnut Creek, CA 94598 Phone: 925-933-3912 Fax: 925-933-4309  | |
Dr. Brian J Hockel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2651 Oak Grove Rd, Walnut Creek, CA 94598 Phone: 925-934-3434  |