Haysam Galal Tawfik, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9011 Issued in NC

Practice address

5638 NC Highway 42 W Ste 214
Garner, NC 27529-7998

Phone

(919) 661-6161

NPI assigned

Sep 4, 2008

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Riccobene & Associates I, DDS, P.a.

  dba Riccobene Associates Family Dentistry - Garner

  • General Practice Dentistry
  • Garner, NC
  • NPI 1902980493
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1629226576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 NC HIGHWAY 42 W STE 214",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297998",
            "telephone_number": "919-661-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 NC HIGHWAY 42 W STE 214",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297998",
            "telephone_number": "919-661-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWFIK",
        "first_name": "HAYSAM",
        "middle_name": "GALAL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18161",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Colmer Syvinski, ANP
• George A Tabb Jr., LCSWA
• Tanglewood Assisted Living LLC
• William Jouette Tapp III, D.D.S.
• Sheena Tart
• Amari Taylor
• Briana Taylor
• Melinda Taylor, MD
• Yvonne J Taylor
• Teljam Professional Services, Inc.

• General Practice Dentistry in Garner, NC
• Providers in Garner, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.