Dean Joseph Fardo, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

049534 Issued in GA

Practice address

4165 Old Milton Pkwy
Suite 200
Alpharetta, GA 30005-4468

Phone

(770) 667-0904

Fax

(770) 667-0206

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1487797361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 WATSONS BND",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048826",
            "telephone_number": "770-317-2193",
            "fax_number": "770-667-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054468",
            "telephone_number": "770-667-0904",
            "fax_number": "770-667-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARDO",
        "first_name": "DEAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "049534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Hospice North Atlanta LLC
• Family Management Systems, Inc.
• Family Medical Center of Ga LLC
• Family Works, Inc.
• Maryam Faraji
• Malikah Bakir Fardon-Jones-Finney
• Fadoua Hilal Farhane, RDN,LD
• Farida Anwar PHD
• Farida Anwar PHD LLC
• Leslie Anne Farr, RBT

• Plastic Surgery Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.