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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.