Individual provider · Type 1 NPI

Jaleh Tina Keyhani, DDS

Oral and Maxillofacial Surgery (Dentist) · Fairfield, CA

NPI number 1043214448 Active · reactivated Mar 23, 2006

Practice location

1590 Webster St Ste E
Fairfield, CA 94533-4932

Mailing address

8350 E Sutton Dr
Scottsdale, AZ 85260-4929

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDDS60131 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD5160 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1043214448

Jaleh Tina Keyhani, DDS's National Provider Identifier is 1043214448, issued on Jun 13, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairfield, CA. The record was last updated on Apr 22, 2026.