Wally Bashawaty is a Newport Beach, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Wally Bashawaty is
45429 for Dentistry in California. His current practice location is
1501 Superior Ave Ste 306, Newport Beach. Patients can reach him at
949-645-8222.
Wally Bashawaty is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Wally Bashawaty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Wally Bashawaty |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1501 Superior Ave Ste 306, Newport Beach, California, 92663-3641 |
| Phone: | 949-645-8222 |
| Fax: | 949-645-3111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780721621 |
| NPI Enumeration Date: | 31 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wally Bashawaty are as mentioned below.
| License Number | Specialization | State | Status | |
| 45429 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Wally Bashawaty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 831034 | Other | California | UNITED CONCORDIA PROVIDER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1501 Superior Ave Ste 306, Newport Beach, California |
| Zip: | 92663-3641 |
| Phone Number: | 949-645-8222 |
| Fax Number: | 949-645-3111 |
Patients can reach Wally Bashawaty at
1501 Superior Ave Ste 306, Newport Beach, California or can
call to book an appointment on 949-645-8222.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.