Provider Demographics
NPI:1053628099
Name:DAWAS, HASSAN FADL (DDS)
Entity type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:FADL
Last Name:DAWAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7908 CINCINNATI-DAYTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-755-0801
Mailing Address - Fax:513-755-1702
Practice Address - Street 1:7908 CINCINNATI-DAYTON RD
Practice Address - Street 2:SUITE B
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-755-0801
Practice Address - Fax:513-755-1702
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-023232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist