MEDICARE: AZADEH HOSSEINI DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1780155655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZADEH HOSSEINI DDS INC

Provider Business Mailing Address
First Line	:	1500 TARA HILLS DR STE 104
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 TARA HILLS DR STE 104
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2526
Country	:	US
Telephone Number	:	510-552-9118
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AZADEH HOSSEINI
Credential	:	DDS
Telephone Number	:	510-552-9118

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	12/17/2018

Similar Medicare Providers

1235132770 — DR. KOUROSH HARANDI DDS., MS.
Practice Location Address:

1500 TARA HILLS DR , STE 202
PINOLE, CA
94564-2526

Practice Phone: 510-724-3666
Practice Fax: 510-724-5923

1598789349 — DAVID TALBOTT WARREN DAVID WARREN
Practice Location Address:

1500 TARA HILLS DR STE 104
PINOLE, CA
94564-2526

Practice Phone: 510-724-8541
Practice Fax: 510-724-0420

1629297882 — DR. LARRY ALDEN SYLVA D.D.S.,M.SC.D
Practice Location Address:

1500 TARA HILLS DR STE 206
PINOLE, CA
94564-2526

Practice Phone: 510-724-4900
Practice Fax: 510-724-7417

1831538115 — DR. DAN QUOC TRAN D.D.S.
Practice Location Address:

1500 TARA HILLS DR STE 206
PINOLE, CA
94564-2526

Practice Phone: 510-724-4900
Practice Fax:

1649153289 — DR. CONNOR LEON ARCHER D.C.
Practice Location Address:

2574 APPIAN WAY
PINOLE, CA
94564-2237

Practice Phone: 510-243-2425
Practice Fax: 510-243-2428

1184434995 — TAMMIE SIMS-RUSSELL
Practice Location Address:

1063 SAN PABLO AVE STE B ROOM # 3
PINOLE, CA
94564-2473

Practice Phone: 248-979-6373
Practice Fax:

Directions to “AZADEH HOSSEINI DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.