George Naguib Dawoud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416462 Issued in VA

Practice address

608 Anderson Ave
Cliffside Park, NJ 07010-1858

Phone

(845) 551-7723

NPI assigned

Jul 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George Dawoud, D.D.S., LLC

  • Dental Clinic/Center
  • Cliffside Park, NJ
  • NPI 1669083572
  NPD Authorized official
• Virginia Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Aldie, VA
  • NPI 1427508845
  NPD (past)

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1477075125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WINFIELD DR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778108",
            "telephone_number": "845-551-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101858",
            "telephone_number": "845-551-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324540",
            "country_code": "US",
            "telephone_number": "845-551-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24585 Stone Carver Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201053258",
            "country_code": "US",
            "telephone_number": "703-327-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWOUD",
        "first_name": "GEORGE",
        "middle_name": "NAGUIB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416462",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001753",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016428057",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "608 Anderson Ave",
            "city": "Cliffside Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070101858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Connor, MA, BCBA
• Maria Antonieta Contreras, OTR/L
• Dara Cowen, PT
• Maria D Cruz, MAPT
• David Fridman LLC
• Denta PC
• Anthony Vincent Depietro, DDS
• Gregory Henry Doerr, DC
• Don Mercado
• Linda Dorf, MA, CCC-SLP

• Dentist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.