Healthcare Provider Details

I. General information

NPI: 1063130615
Provider Name (Legal Business Name): DONNA DAVAMI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4670 NATOMAS BLVD # 100
SACRAMENTO CA
95835-1217
US

IV. Provider business mailing address

948 TUSCAN LN
SACRAMENTO CA
95864-6177
US

V. Phone/Fax

Practice location:
  • Phone: 916-575-7701
  • Fax:
Mailing address:
  • Phone: 916-290-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDDS107713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: