Wael Hamdan, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

31382 Issued in TX

Practice address

6970 Firethorn
Beaumont, TX 77708

Phone

(409) 504-1170

NPI assigned

Aug 28, 2015

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)

Enrolled

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1629445333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 FIRETHORN DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 FIRETHORN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77708",
            "telephone_number": "409-504-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "WAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "31382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagin Lynn Hall, FNP-C
• Stephen Leo Hall, D.O.
• Wendy Michele Hall, APRN
• Hallmark EMS Inc
• Greg Hamby
• Amr Hamed, MD
• Miranda Ann Hammermeister, MSN, NNP-BC
• Chad W Hammett, M.D.
• Hamshire-Fannett Urgent Care LLC
• Clifton Hancock, M.D.

• Pediatric Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.