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FAWAZ HATEM BDS, MSD
NPI 1053083295
Dentist - General Practice in Seattle, WA

Active since October 05, 2021
11540 15TH AVE NE, SEATTLE, WA 98125(206) 440-1500 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Jul 11, 2022, Jul 10, 2022 and 1 more (4 updates tracked since 2021).

About Fawaz Hatem Bds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAWAZ HATEM BDS, MSD (NPI 1053083295) is an individual general practice provider in Seattle, Washington, licensed in Washington (DE.61153474) and active in the NPI registry since October 2021. He maintains a secondary practice location in Woodinville.

NPPES Registry Identity

NPI1053083295
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameFAWAZ HATEMCredential: BDS, MSD
Location Address11540 15TH AVE NESeattle, WA 98125-6322
Mailing Address3608 231st Pl SeBothell, WA 98021-6214 · (509) 539-6475
Phone(206) 440-1500
Sole ProprietorYes
Enumeration DateOctober 5, 2021
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1053083295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE.61153474
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedOral MedicineTaxonomy 125Q00000X · License DENT.DE.61153474 (WA)
11540 15TH AVE NE, Seattle, WA 98125
Open in Google Maps ↗

Secondary Practice Location 1

Location 119150 NE Woodinville Duvall RdWoodinville, WA 98077-9477 · Phone (425) 788-8900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA P SUMMER DPD
Denturist
11540 15TH AVE NE
SEATTLE, WA 98125
King County (206) 445-0030
A DENTAL & DENTURE ASSOCIATES, LLC
Denturist
11540 15TH AVE NE
SEATTLE, WA 98125
King County (206) 440-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawaz Hatem's NPI number?

The NPI number for Fawaz Hatem is 1053083295. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Fawaz Hatem located?

Fawaz Hatem practices at 11540 15th Ave NE, Seattle, WA 98125. The listed phone number is (206) 440-1500.

What is Fawaz Hatem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Fawaz Hatem accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DeltaCare USA and 7 other insurers list Fawaz Hatem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fawaz Hatem was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.