Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ardavan Fateh

Individual provider Dentist · NPI 1053630780

Ardavan Fateh is a Dentist in San Francisco, California. Licensed in California, Colorado and Massachusetts. Registered with an NPI since 2010.

Licensed in
CA, CO, MA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

2355 Ocean Ave
San Francisco, CA 94127-2600
Phone: (415) 333-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 60303 (CA)
Dentist Taxonomy 122300000X · Licence DL10896 (MA)
Periodontics Taxonomy 1223P0300X · Licence 00201945 (CO)

Record details

NPI number1053630780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESSeptember 16, 2015

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