Individual provider · NPI-1

Dr. Fadi Al Farawati, DDS, MS, MClinDent

Dentist, Prosthodontics · Augusta, GA

NPI number1265815997
StatusActive
Last updated in NPPESJul 12, 2022

Details

NPI
1265815997
Entity type
Individual (NPI-1)
Name
Dr. Fadi Al Farawati
Credential
DDS, MS, MClinDent
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2015
Certification date
Jul 12, 2022
Last updated
Jul 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, ProsthodonticsDNF000405GAYes
1223P0700X Dentist, Prosthodontics35962TX

Practice location

1430 John Wesley Gilbert Drive
Augusta, GA 30912-0415

Phone 706-721-2696 · Fax 706-721-6778

Mailing address

1130 Hunters Cv
Evans, GA 30809-6903

Phone 786-304-3793

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