Ayman K Farah, DDS
Individual provider Active NPI General Practice Dentistry · Washougal, WA
NPI 1679606115 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679606115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7550 (WA)
- Practice address
- 3307 Evergreen Way
Suite 706
Washougal, WA 98671-2062 - Phone
- (360) 335-8899
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7550 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayman K Farah, DDS, PS | General Practice | Past | Accepting new patients |
| Orchard Hills Dental | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7550 | WA | Yes |
Addresses
Primary practice location
3307 Evergreen Way
Suite 706
Washougal, WA 98671-2062
Mailing address
2157 38TH CT
Washougal, WA 98671-9065
Phone (360) 335-8899
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All providers in Washougal, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.