Haytham Fares, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HAYTHAM FARES, DDS, PC

Practice address

22190 Garrison St Ste 200
Dearborn, MI 48124-2235

Phone

(313) 561-7070

Fax

(313) 561-0686

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Roberts

Title

Receptionist

Phone

(313) 561-7070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1023737970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-561-7070",
            "fax_number": "313-561-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-561-7070",
            "fax_number": "313-561-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYTHAM FARES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "313-561-7070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Hayek, M.D.
• John Robert Hayes, RN
• Khamya Hayes
• Kiya Shae Hayes
• Maria F Hayes, MD
• Haytham Hussein MD PC
• Julian Michael Hazelton, MD
• Gregory David Hazergian, D.O.
• Christina Hazime, NP
• Fatima Hazime

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.