Healthcare Provider Details

I. General information

NPI: 1225614118
Provider Name (Legal Business Name): HAROON A MASOOD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 WINDPLAY DR STE 1
EL DORADO HILLS CA
95762-9316
US

IV. Provider business mailing address

8890 N WINDING WAY
FAIR OAKS CA
95628-6322
US

V. Phone/Fax

Practice location:
  • Phone: 916-941-2341
  • Fax:
Mailing address:
  • Phone: 408-206-0751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDDS110025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: