HAWATMEH DENTAL GROUP PC (NPI# 1649704347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649704347 |
| Entity Type | Organization |
| Organization Name | HAWATMEH DENTAL GROUP PC |
| Other Organization Name | BRAVO DENTAL GROUP OF CORONA |
| Practice Address |
1185 Magnolia Ave #k Corona CA 92879-3218 |
| Practice Telephone | 9518989223 |
| Practice Fax Number | 9518986985 |
| Mailing Telephone | 9518989223 |
| Mailing Fax Number | 9518986985 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | DR. AYED HAWATMEH (CEO) |
| Authorized Official Telephone | 9518989223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 49108 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1982000923 | 05 |
| Other Name | Type Code |
|---|---|
| Bravo Dental Group of Corona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023660917 | Hawatmeh Dental Group PC | Dentist | 1035 W Ramsey St # B, Banning, CA 92220-4400 | 2019-07-11 |
| 1881187995 | Hawatmeh Dental Group PC | Dentist | 1300 E Florida Ave # A20, Hemet, CA 92544-8640 | 2018-06-13 |
| 1225438922 | Hawatmeh Dental Group PC | Dentist | 391 W Central Ave, Brea, CA 92821-3025 | 2014-08-29 |
| Street Address |
1185 MAGNOLIA AVE #K |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245327022 | Rakesh R Patel | Dentist | 1185 Magnolia Ave, Suite K, Corona, CA 92879-3218 | 2006-10-05 |
| 1942396734 | Shital Patel | Dentist | 1185 Magnolia Ave, Suite K, Corona, CA 92879-3218 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1003423286 | Radhika Makadia | Dentist | 8387 Butterfly Bush Ct, Corona, CA 92883-4936 | 2020-09-30 |
| 1225646706 | Shweta Jain | Dentist | 3460 Summitpointe Cir, Corona, CA 92881-8354 | 2020-07-21 |
| 1730797614 | Brittany Sharleen Watu | Dentist | 916 W. Sixth Street, Corona, CA 92882-3239 | 2020-07-16 |
| 1144868373 | Jacqueline Astrid Marquez | Dentist | 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 | 2019-12-18 |
| 1447715743 | J Chun Dental Corp | Dentist | 1112 W 6th St Ste 105, Corona, CA 92882-3137 | 2019-01-31 |
| 1831614213 | Sam S Park | Dentist | 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 | 2017-08-07 |
| 1609322155 | Abhishek Joshi Dds,inc. | Dentist | 12738 Longhorne Dr, Corona, CA 92880-8839 | 2016-08-25 |
| 1932559713 | Wonjoon Lee | Dentist | 3283 Quartz Cir, Corona, CA 92882-6096 | 2016-06-13 |
| 1124476254 | Bhavik Bhakta | Dentist | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2016-05-31 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.