Hawatmeh Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAWATMEH DENTAL GROUP PC

Practice address

1035 W Ramsey St # B
Banning, CA 92220-4400

Phone

(951) 922-2322

NPI assigned

Jul 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ayed J Hawatmeh, DDS

Title

Ceo

Phone

(909) 483-1379

Specialties & licenses 1

Addresses

Other names 1

• Bravo Dental Group of Banning Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1023660917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 W CENTRAL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213025",
            "telephone_number": "714-987-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W RAMSEY ST # B",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204400",
            "telephone_number": "951-922-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWATMEH DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HAWATMEH",
        "authorized_official_first_name": "AYED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-483-1379",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Dental Group of Banning",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bravo Dental Group of Banning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harbor Wound Care P.C.
• Stella Harefa, PHARMD
• Latrice Harris, MFT TRAINEE
• Matthew David Hatch, PA
• Ian McCloud Hathaway
• Erik Hayes
• Jennifer Jane Haynes-Casey, LVN
• Heartland Mercy Care LLC
• Greg Laird Heaston
• Kathleen Dee Heaston

• General Practice Dentistry in Banning, CA
• Providers in Banning, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.