Organization Active NPI

H & K Dental Services ,PLC

Doing business as Fair Haven Dental

  • Dental Clinic/Center
  • Fair Haven, VT
National Provider Identifier
1174814156
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
H & K DENTAL SERVICES ,PLC
Doing business as
Fair Haven Dental
Practice address
129B N Main St
Fair Haven, VT 05743-1132
Phone
(802) 265-3604
Fax
(802) 251-0022
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Fadi Jamil Hawwash, DMD
Title
Owner
Phone
(802) 265-3604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

129B N Main St
Fair Haven, VT 05743-1132

Mailing address

PO Box 37
Fair Haven, VT 05743-0037
Phone (802) 265-3604

Other names 1

  • FAIR HAVEN DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

129B N Main St
Fair Haven, VT 05743
Phone (802) 265-3604

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1174814156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "FAIR HAVEN",
            "state": "VT",
            "postal_code": "057430037",
            "telephone_number": "802-265-3604",
            "fax_number": "802-251-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129B N MAIN ST",
            "city": "FAIR HAVEN",
            "state": "VT",
            "postal_code": "057431132",
            "telephone_number": "802-265-3604",
            "fax_number": "802-251-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & K DENTAL SERVICES ,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "HAWWASH",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "JAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-265-3604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIR HAVEN DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Haven, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.