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Active NPI 1346836558 Individual Practitioner Female Practitioner

Tanzim Faruk

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Tanzim Faruk is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 3025 MCHENRY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3025 Mchenry Ave

Modesto, CA 953501466

Telephone 2095273990
Associated Practice Facility / Clinic
🏢 Ocean H. Hu, D.d.s., Inc Facility NPI 1992958672

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 105861

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1043876717

Doctor of Dental Surgery

Dr. Ignacio Mendoza Ham , DDS

Dentist - General Practice

NPI 1215583570

Doctor of Dental Surgery

Dr. Amnerys Gato Pina , DDS

Dentist - General Practice

NPI 1255090346

Doctor of Dental Surgery

NPI 1366256885

Doctor of Dental Surgery

NPI 1396309415

Doctor of Dental Medicine, INC

Dr. Jashandeep Kaur , DDS

Dentist - General Practice

NPI 1417562042

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2020

Registered at 3025 MCHENRY AVE, MODESTO, CA 953501466 (Tel: 2095273990)

📍
Updated Business Mailing Address December 12, 2020

Registered at 9814 E ARIZONA DR APT 523, AURORA, CO 802476348 (Tel: 7208104242)

👤
Provider Name / Credentials Updated December 12, 2020

Recorded as TANZIM FARUK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2020

Dentist (License #105861 in CA)

🟢
Initial NPI Registration & Enumeration December 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346836558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2020
Last Update: December 12, 2020
Sole Proprietor: No

Mailing Address

9814 E Arizona Dr Apt 523

Aurora, CO 802476348

Phone: 7208104242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.