MOHAMAD FAWAZ DMD NPI 1629716907

NPI Information

Mohamad Fawaz, DMD is a student in an organized health care education training program in Augusta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mohamad Fawaz, DMD NPI is 1629716907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA
ZIP 30912-566
Phone: (706) 288-6517

The NPI 1629716907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2022 and was last updated on 7/24/2023.

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:

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