Roaa Ghassan Fathi I
Dental Hygienist in Gainesville, FL. Individual provider (NPI-1).
NPI number1275138265
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1275138265
- Entity type
- Individual (NPI-1)
- Name
- Miss Roaa Ghassan Fathi I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 25085 | FL | Yes |
Practice location
5021 Nw 34th Blvd Ste AGainesville, FL 32605-1191
Phone 352-371-7766
Mailing address
5021 Nw 34th Blvd Ste AGainesville, FL 32605-1191
Phone 352-371-7766
Other practice locations
5021 Nw 34th Blvd Ste A
Gainesville, FL 32605-1191
Gainesville, FL 32605-1191
Phone 352-371-7766
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Dental Hygienist providers in Gainesville · All 16,207 providers in Gainesville
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