Individual provider · Type 1 NPI

Alireza Sadre-Nassiri, DMD

Pediatric Dentistry · Lakeport, CA

NPI number 1740544303 Active

Practice location

925 Bevins Ct
Lakeport, CA 95453-9754

Call (707) 263-8382 Map

Fax (707) 263-5326

Mailing address

PO Box 1950
Lakeport, CA 95453-1950

Other practice locations

6003 100th St SW, Lakewood, WA 98499-2733 · (425) 466-0595
14440 Olympic Dr, Clearlake, CA 95422-8809 · (707) 263-8382

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	056780 (NY)
Dentist	122300000X	60737991 (WA)
Pediatric Dentistry	1223P0221X	056780 (NY)
Pediatric Dentistry Primary	1223P0221X	109541 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

45 other providers at this address

About NPI 1740544303

Alireza Sadre-Nassiri, DMD's National Provider Identifier is 1740544303, issued on Jun 28, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakeport, CA. The record was last updated on Aug 1, 2025.