Mohamad Fawaz, DMD is a
Student In An Organized Health Care Education/training Program based in Augusta, Georgia. Mohamad Fawaz is licensed to practice in Virginia (license number DN123645) and his current practice location is
1430 John Wesley Gilbert Drive, Augusta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 288-6517.
NPI number for Mohamad Fawaz is 1629716907 and his current mailing address is 1430 John Wesley Gilbert Drive Augusta, Augusta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629716907.
Healthcare Provider's Profile
| Full Name | Mohamad Fawaz |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1430 John Wesley Gilbert Drive, Augusta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629716907
- Provider Enumeration Date: 05/25/2022
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Mohamad Fawaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629716907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0442000458 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DN123645 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamad Fawaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mohamad Fawaz, DMD
1430 John Wesley Gilbert Drive Augusta,
Augusta, GA 30912-0257
Ph: (706) 288-6517 | Mohamad Fawaz, DMD
1430 John Wesley Gilbert Drive,
Augusta, GA 30912-0566
Ph: (706) 288-6517 |
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