Wally Bashawaty is a Dentist in Newport Beach, California. Wally Bashawaty practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wally Bashawaty is 1780721621. The last update date is 2007-07-08.
Wally Bashawaty's current location address is 1501 Superior Ave Ste 306, Newport Beach, California. You can contact this provider via phone number 9496458222 and fax number 9496453111. The mailing address for Wally Bashawaty is 1501 Superior Ave Ste 306, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wally Bashawaty |
|---|---|
| Address | 1501 Superior Ave Ste 306, Newport Beach, California |
| Phone Number | 9496458222 |
| Fax Number | 9496453111 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780721621 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 Superior Ave Ste 306 |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926633641 |
| Phone Number | 9496458222 |
| Fax Number | 9496453111 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 45429 |
|
Definition: 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: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 831034 | CA | UNITED CONCORDIA PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wally Bashawaty by the Centers for Medicare & Medicaid Services?
The Wally Bashawaty has been issued the NPI (National Provider Identifier) 1780721621, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wally Bashawaty located?
The Wally Bashawaty is located at 1501 Superior Ave Ste 306, Newport Beach, CA 926633641.
What is the area of specialization for Wally Bashawaty, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wally Bashawaty is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780721621 to Wally Bashawaty?
The Centers for Medicare & Medicaid Services originally issued the 1780721621 to Wally Bashawaty on 2007-01-31.
As of what date was the information regarding Wally Bashawaty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wally Bashawaty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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