Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Tirbod Todd Fattahi, M.D. , DDS

Oral & Maxillofacial Surgery (D.M.D.) in Jacksonville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093780603

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Registry record

Entity type Individual (Type 1)

Name Dr. Tirbod Todd Fattahi

Credential M.D. , DDS

Sex Male

Practice address 655 W 8th St, Ufjp Oral Surgery, Jacksonville, FL, 32209

Phone (904) 244-3901

Fax (904) 244-3218

Enumeration date Feb 18, 2006

Last updated in NPPES Apr 29, 2008

Taxonomy & licenses

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License ME85119 (FL) Primary

122300000X Dentist Dental Providers · License DTP368 (FL) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2644371-00	Medicaid	FL	-
0752941-00	Medicaid	FL	-
000947339C	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tirbod Fattahi practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Tirbod Fattahi?

The National Provider Identifier (NPI) for Tirbod Fattahi is 1093780603, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-29.