Tayebaty, Fardad

Tayebaty, Fardad is an individual health care provider with primary practice located at 390 S Green Valley Rd Ste 7 , Watsonville CA 95076-3077. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Tayebaty, Fardad can be contacted via phone (617) 875-3211.

Contact Information

Primary practice address
390 S Green Valley Rd Ste 7 Watsonville CA 95076-3077
Phone: (617) 875-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22D102435200 New Jersey
Dental Providers / Endodontics 1223E0200X 100912 California
Dental Providers / Endodontics 1223E0200X 22DI02435200 New Jersey
Dental Providers / Endodontics 1223E0200X 055815 New York
Dental Providers / General Practice 1223G0001X 22292 Massachusetts

Profile Details

NPI number 1396908943
LBN Legal business name Tayebaty, Fardad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Apr 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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