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FARWEST DENTAL GROUP NPI 1699200220


NPI Information

NPI: 1699200220
Provider Name: FARWEST DENTAL GROUP
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1704 N AVALON BLVD
WILMINGTON, CA
ZIP 90744
Phone: (310) 835-5130
Get Directions

FARWEST DENTAL GROUP is a dentist in Wilmington, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. FARWEST DENTAL GROUP NPI is 1699200220. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1704 N AVALON BLVD
WILMINGTON, CA
ZIP 90744-433
Phone: (310) 835-5130
Fax: (310) 835-6090

The provider's authorized official is Hassan Fayoumi .
The authorized official title is Onwer and has the following contact phone number (310) 699-1549.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist52604CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8983901MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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