Hawatmeh Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

49108 Issued in CA

Legal business name

HAWATMEH DENTAL GROUP PC

Practice address

1185 Magnolia Ave
#K
Corona, CA 92879-3218

Phone

(951) 898-9223

Fax

(951) 898-6985

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ayed Hawatmeh

Title

Ceo

Phone

(951) 898-9223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bravo Dental Group of Corona Doing business as

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1649704347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MAGNOLIA AVE",
            "address_2": "#K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793218",
            "telephone_number": "951-898-9223",
            "fax_number": "951-898-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MAGNOLIA AVE",
            "address_2": "#K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793218",
            "telephone_number": "951-898-9223",
            "fax_number": "951-898-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWATMEH DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HAWATMEH",
        "authorized_official_first_name": "AYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-898-9223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982000923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Dental Group of Corona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bravo Dental Group of Corona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison N Hassien
• Rimon Eisho Hasso, PHARMD, RPH
• Princess Annette Hatcher, D.P.M
• Markeita Hatter
• Hiba Hawasli, DDS
• Hana Hawthorne, LSW
• Shabana Haxton, RN, NP
• Laurice Evette Haycraft, MSN, RN, APRN, PMHNP
• Victoria Haymon
• Tahir Haytoglu, MD

• Dentist in Corona, CA
• Providers in Corona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.