MAHA HETATA D.D.S.
NPI 1154678647
Dentist - General Practice in Costa Mesa, CA

Active since August 14, 2012
267 E 17TH ST, COSTA MESA, CA 92627(949) 646-2411(949) 646-9141 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maha Hetata D.d.s. NPPES

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

MAHA HETATA D.D.S. (NPI 1154678647) is an individual general practice provider in Costa Mesa, California, licensed in California (40830) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1154678647
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMAHA HETATACredential: D.D.S.
Location Address267 E 17TH STCosta Mesa, CA 92627-3831
Mailing Address267 E 17th StCosta Mesa, CA 92627-3831 · (949) 646-2411 · Fax (949) 646-9141
Fax(949) 646-9141
Sole ProprietorNo
Enumeration DateAugust 14, 2012
NPI 1154678647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 40830
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.

267 E 17TH ST, Costa Mesa, CA 92627

Other Providers at the Same Location NPPES 3

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

Dentist
267 E 17TH ST
COSTA MESA, CA 92627
Dentist (General Practice)
267 E 17TH ST
COSTA MESA, CA 92627
Dentist (Oral and Maxillofacial Surgery)
267 E 17TH ST
COSTA MESA, CA 92627

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 Maha Hetata's NPI number?

The NPI number for Maha Hetata is 1154678647. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Maha Hetata located?

Maha Hetata practices at 267 E 17th St, Costa Mesa, CA 92627. The listed phone number is (949) 646-2411.

What is Maha Hetata's specialty?

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

When was this NPI record last updated?

The NPPES record for Maha Hetata was last updated on August 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.