Fahed D. Hattar Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52059 Issued in CA

Legal business name

FAHED D. HATTAR DENTAL, INC.

Practice address

15366 11TH St
Suite F
Victorville, CA 92395-3726

Phone

(760) 243-3595

Fax

(760) 243-3472

NPI assigned

Oct 1, 2012

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina McGarvey

Title

Office Manager

Phone

(760) 243-3595

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fahed Daher Hattar, DDS

  • Dentist
  • Victorville, CA
  • NPI 1770677858
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1083965933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE F",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-243-3595",
            "fax_number": "760-243-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE F",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-243-3595",
            "fax_number": "760-243-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHED D. HATTAR DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "MCGARVEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-243-3595"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Assistance Program

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, 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 Jul 20, 2015; 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.