Bahareh Fatemi, DMD
Individual provider Active NPI General Practice Dentistry · Foster City, CA
NPI 1245081835 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1245081835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DDS108272 (CA)
- Practice address
- 581 Foster City Blvd
Foster City, CA 94404-1695 - Phone
- (650) 286-9999
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS108272 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polly Chan DDS Inc | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DDS108272 | CA | Yes |
Addresses
Primary practice location
581 Foster City Blvd
Foster City, CA 94404-1695
Mailing address
722 Edgewater Blvd Apt 301
Foster City, CA 94404-2843
Phone (415) 696-8444
Other providers in Foster City, CA
- Jacob Feiner Engelskirger
- Stephanie Kay Erickson
- Laura Christine Esposito
- Miriam Etienne
- Jaleena Fanuncio
- Daniela Fazzio
- Melanie Feliciano
- Jeffrey Finer
- Meredith Fisher
- La Donna D Ford
All providers in Foster City, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.