Abdelsayed & Wassif Dental Group Inc.
Organization Active NPI Dentist · Huntington Beach, CA
NPI 1194488262 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1194488262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ABDELSAYED & WASSIF DENTAL GROUP INC.
- Practice address
- 16141 Bolsa Chica St Ste C
Huntington Beach, CA 92649-2458 - Phone
- (714) 846-1386
- NPI assigned
- Oct 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. George Abdelsayed, DDS
- Title
- President
- Phone
- (424) 379-7261
Practitioners 3
-
George Mirsal, DDS
-
Aimee Kang, DDS
-
Shady Wassif, DMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250922000341 | CA | Part B Supplier - Clinic/Group Practice | 9638673734 |
Receives reassigned benefits from 1 practitioner Practice locations: Huntington Beach, CA |
National Provider Directory
Locations
16141 Bolsa Chica St
Ste C
Huntington Beach, CA 92649
Phone (714) 846-1386
16141 Bolsa Chica St
Huntington Beach, CA 92649
Phone (714) 846-1386
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
16141 Bolsa Chica St Ste C
Huntington Beach, CA 92649-2458
Mailing address
16141 Bolsa Chica St Ste C
Huntington Beach, CA 92649-2458
Phone (714) 846-1386
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366081747 | Medicaid | CA | |
| 1871117507 | Medicaid | IL |
Other names
- Cleopatra Dental
Other providers in Huntington Beach, CA
- A&a Pharmacies, Inc.
- Ab Gynecology & Urology Medical Institution, Inc.
- ABA Basics, Inc.
- ABA Enhancement
- Omar Abdellah
- Manar Abdrabbo
- Abdullah Ibish MD Inc
- Jana Abdulrahim
- Franz Andrei Abellon
- Katia Abi-Jaoude
All providers in Huntington Beach, CA · Dentist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.