RW FATTOUCH DMD, INC. (NPI# 1659985802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659985802 |
Entity Type | Organization |
Organization Name | RW FATTOUCH DMD, INC. |
Practice Address |
42210 Lyndie Ln Ste 100 Temecula CA 92591-3604 |
Practice Telephone | 9515061666 |
Practice Fax Number | 8889325863 |
Mailing Telephone | 9515061666 |
Mailing Fax Number | 8889325863 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-23 |
Authorized Official Name | DR. ROBERT WADID FATTOUCH (OWNER) |
Authorized Official Telephone | 9515061666 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Other Name | Type Code |
---|---|
Temecula Kids Dental Care | Doing Business As Name - Organization |
Street Address |
42210 LYNDIE LN STE 100 |
City | TEMECULA |
State | CA |
Zip Code | 92591-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
Find all providers in zip 92591 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346595626 | Taylor Huish Rawson | Dentist | 44066 Margarita Rd Ste 1, Temecula, CA 92592-2779 | 2012-07-23 |
1598024739 | Eddie Chang Dds, Inc. | Dentist | 31940 Temecula Pkwy, Suite C-2, Temecula, CA 92592-3836 | 2012-05-09 |
1679878870 | Daniel L Smith Dmd Inc | Dentist | 31560 Rancho Pueblo Rd, Temecula, CA 92592-4850 | 2011-01-19 |
1073748174 | Mohammad Abul Fielat Dds Inc | Dentist | 41593 Winchester Rd Ste 220, Temecula, CA 92590-4841 | 2009-05-19 |
1922261692 | Daniel Lee Smith | Dentist | 33022 Hill St, Temecula, CA 92592-7217 | 2008-07-03 |
1538228820 | Mike Myungwhan Lee | Dentist | 41797 Nicole Ln, Temecula, CA 92591-3870 | 2006-12-06 |
1720346513 | Wesley Morikawa | Dentist | 41238 Margarita Rd, Suite 102, Temecula, CA 92591-5552 | 2012-04-30 |
1336479963 | Mike M. Lee, Dds, Inc. | Dentist | 27699 Jefferson Ave, Suite #207, Temecula, CA 92590-2661 | 2010-01-04 |
1013113067 | Dr. Nathaniel S. Liu, Dds A Professional Corporation | Dentist | 28350 Via Santa Rosa, Temecula, CA 92590-5335 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
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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.