Provider Demographics
NPI:1902458086
Name:TARKESH, NOZAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:NOZAR
Middle Name:
Last Name:TARKESH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 COFFEE RD STE Q
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1264
Mailing Address - Country:US
Mailing Address - Phone:661-831-7230
Mailing Address - Fax:
Practice Address - Street 1:600 COFFEE RD STE Q
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1264
Practice Address - Country:US
Practice Address - Phone:661-831-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0104311223G0001X
CADDS1086481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice