Active NPI
Hamad Rafiq Ismail Hamad, DDS
- General Practice Dentistry
- Scottdale, GA
National Provider Identifier
1760908446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14066
- Practice address
- 506 Lantern Wood Dr
Scottdale, GA 30079-1894 - Phone
- (724) 426-2389
- NPI assigned
- Aug 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111542 | CA | |
| Dentist | 122300000X | 1001668 | WI | |
| Dentist | 122300000X | 0401417077 | VA | |
| General Practice Dentistry | 1223G0001X | 2024018541 | MO | |
| Dentist | 122300000X | 019.031991 | IL | |
| General Practice Dentistry | 1223G0001X | 14066 | NC | Primary |
| General Practice Dentistry | 1223G0001X | DN122591 | GA | |
| General Practice Dentistry | 1223G0001X | 1001668 | WI |
Addresses
Primary practice location
506 Lantern Wood Dr
Scottdale, GA 30079-1894
Mailing address
8010 Arco Corporate Dr Ste 230
Raleigh, NC 27617-2014
Phone (724) 426-2389
Other practice location 1
3212 Hampton Hwy
Yorktown, VA 23693-4948
Phone (757) 209-2786
Other practice location 2
292 Turner St # B
Aberdeen, NC 28315-2363
Phone (910) 807-0071
Other practice location 3
7117 Green Bay Rd
Kenosha, WI 53142-1450
Phone (262) 942-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180223002035 | WI | Order and Referring Only - Dentist | 4587925052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031991 | IL | MD | Dentist |
| 0401417077 | VA | MD | Dentist |
| DN122591 | GA | MD | General Practice Dentistry |
| 1001668 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1760908446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 ARCO CORPORATE DR STE 230",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276172014",
"telephone_number": "724-426-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LANTERN WOOD DR",
"city": "SCOTTDALE",
"state": "GA",
"postal_code": "300791894",
"telephone_number": "724-426-2389"
}
],
"practiceLocations": [
{
"address_1": "3212 Hampton Hwy",
"address_purpose": "LOCATION",
"city": "Yorktown",
"state": "VA",
"postal_code": "236934948",
"country_code": "US",
"telephone_number": "757-209-2786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "292 Turner St # B",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "NC",
"postal_code": "283152363",
"country_code": "US",
"telephone_number": "910-807-0071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7117 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531421450",
"country_code": "US",
"telephone_number": "262-942-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMAD",
"first_name": "HAMAD",
"middle_name": "RAFIQ ISMAIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111542",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001668",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417077",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2024018541",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.031991",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "14066",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122591",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1001668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.