Georgetown Sedation Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GEORGETOWN SEDATION DENTISTRY

Practice address

150 Mount Vernon Drive, Suite 200
Georgetown, KY 40324

Phone

(859) 317-3864

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sam Muwafaq, DMD

Title

Dentist

Phone

(859) 317-3864

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Husam (Sam) Muwafaq, DMD

  • General Practice Dentistry
  • Georgetown, KY
  • NPI 1376172379
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1992582571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SPRING VALLEY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118638",
            "telephone_number": "859-317-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MOUNT VERNON DRIVE, SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "859-317-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN SEDATION DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MUWAFAQ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-317-3864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown Obstetrics and Gynecology PSC
• Georgetown Open MRI Center
• Georgetown Oral and Facial Surgery, LLC
• Georgetown Pediatrics, PSC
• Georgetown Pediatrics, PSC
• Georgetown Urgent Care PLLC
• Georgetown-Scott County Ambulance Service
• Gerogetown Community Hospital LLC
• Anne-Claire Gibson, RBT
• Heath Martin Gibson, PA-C

• Dental Clinic/Center in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.