Hawatmeh Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

49108 Issued in CA

Legal business name

HAWATMEH DENTAL GROUP PC

Doing business as

Bravo Dental Group of Hemet

Practice address

1300 E Florida Ave # A20
Hemet, CA 92544-8640

Phone

(951) 765-5544

Fax

(951) 765-5511

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ayed J Hawatmeh

Title

Ceo

Phone

(909) 483-1379

Specialties & licenses 1

Addresses

Other names 1

• Bravo Dental Group of Hemet Doing business as

Locations

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1881187995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E FLORIDA AVE # A20",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448640",
            "telephone_number": "951-765-5544",
            "fax_number": "951-765-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E FLORIDA AVE # A20",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448640",
            "telephone_number": "951-765-5544",
            "fax_number": "951-765-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWATMEH DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HAWATMEH",
        "authorized_official_first_name": "AYED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-483-1379",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Dental Group of Hemet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bravo Dental Group of Hemet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Hemet, CA
• Providers in Hemet, 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.