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Active NPI 1649766593 Individual Practitioner Male Practitioner

Dr. Mostafa Tabaa , DDS

Dentist - Periodontics • Fairfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mostafa Tabaa, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Fairfield, OH. Practice services are available at 5850 BOYMEL DR STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5850 Boymel Dr Ste 2

Fairfield, OH 450145500

Telephone 5138568252
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Fairfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Fairfield, OH (209 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: 2026-02-25
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License OH 30026606

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 25, 2026

Registered at 5850 BOYMEL DR STE 2, FAIRFIELD, OH 450145500 (Tel: 5138568252)

📍
Updated Business Mailing Address February 25, 2026

Registered at 5850 BOYMEL DR STE 2, FAIRFIELD, OH 450145500 (Tel: 5138568252)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Dentist (License #30026606 in OH)

📍
Updated Practice Location April 18, 2022

Registered at 18 REMICK BLVD, SPRINGBORO, OH 450669168 (Tel: 2159395062)

📍
Updated Business Mailing Address April 18, 2022

Registered at 530 BASIL ST, SPRINGBORO, OH 450661004 (Tel: 2159395062)

NPI Profile Active July 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2018

Registered at 800 ROSE ST DENTAL SCIENCE BUILDING ROOM# D432, LEXINGTON, KY 405060001 (Tel: 8593235436)

📍
Updated Business Mailing Address July 03, 2018

Registered at 800 ROSE ST DENTAL SCIENCE BUILDING ROOM# D432, LEXINGTON, KY 405060001 (Tel: 8593235436)

👤
Provider Name / Credentials Updated July 03, 2018

Recorded as MOSTAFA TABAA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Dentist (License #10049 in KY)

🟢
Initial NPI Registration & Enumeration July 03, 2018

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: 1649766593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2018
Last Update: February 25, 2026
Sole Proprietor: No

Mailing Address

5850 Boymel Dr Ste 2

Fairfield, OH 450145500

Phone: 5138568252

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.