Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PATANADEJ DUSTIN HIGARAVATHN DDS
NPI 1104747799
Dentist in Canyon Country, CA

Q: What is Patanadej Higaravathn's NPI number?

The NPI number for Patanadej Higaravathn is 1104747799. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Q: What is Patanadej Higaravathn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 22, 2026

15296 SADDLEBACK RD, CANYON COUNTRY, CA 91387(661) 233-6610 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Patanadej Dustin Higaravathn Dds NPPES

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

PATANADEJ DUSTIN HIGARAVATHN DDS (NPI 1104747799) is an individual dentist in Canyon Country, California, licensed in California (113467) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104747799

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NamePATANADEJ DUSTIN HIGARAVATHNCredential: DDS

Location Address15296 SADDLEBACK RDCanyon Country, CA 91387-4722

Mailing Address15296 Saddleback RdCanyon Country, CA 91387-4722 · (661) 233-6610

Phone(661) 233-6610

Sole ProprietorYes

Enumeration DateJuly 22, 2026

NPPES CertifiedJuly 21, 2026

✔ NPI 1104747799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 113467

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

15296 SADDLEBACK RD, Canyon Country, CA 91387

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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 Patanadej Higaravathn's NPI number?

The NPI number for Patanadej Higaravathn is 1104747799. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Patanadej Higaravathn located?

Patanadej Higaravathn practices at 15296 Saddleback Rd, Canyon Country, CA 91387. The listed phone number is (661) 233-6610.

What is Patanadej Higaravathn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Patanadej Higaravathn was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.