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BASSAM W. FARGO, DDS, INC.
NPI 1154961522
Clinic/Center - Dental in Riverside, CA

Active since January 13, 2020
1717 3RD ST, RIVERSIDE, CA 92507(951) 329-7904 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2020, Jan 13, 2020 (2 updates tracked since 2020).

About Bassam W. Fargo, Dds, Inc. NPPES

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

BASSAM W. FARGO, DDS, INC. (NPI 1154961522) is a healthcare organization registered as a dental in Riverside, California and active in the NPI registry since January 2020. The organization lists Bassam Wisam Fargo, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1154961522
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBASSAM W. FARGO, DDS, INC.
Location Address1717 3RD STRiverside, CA 92507-3435
Mailing Address11559 Springwood CtRiverside, CA 92505-5116 · (951) 329-7904
Phone(951) 329-7904
Organization SubpartNo
Authorized OfficialBassam Wisam FargoOwner · (951) 329-7904
Enumeration DateJanuary 13, 2020
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1154961522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1717 3RD ST, Riverside, CA 92507
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Reviews for BASSAM W. FARGO, DDS, INC.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

KAMRAN SAHABI DENTAL CORPORATION
Dentist (General Practice)
1717 3RD ST
RIVERSIDE, CA 92507
Riverside County (951) 200-2000
ANDREWS DENTAL CORPORATION
Dentist (General Practice)
1717 3RD ST
RIVERSIDE, CA 92507
Riverside County (951) 200-2000
ANNE MARIE ANDREWS
Dentist (General Practice)
1717 3RD ST
RIVERSIDE, CA 92507
Riverside County (951) 200-2000

Frequently Asked Questions

What is BASSAM W. FARGO, DDS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1154961522, enumerated as an "organization" on January 13, 2020.

Where is the provider located?

The provider is located at 1717 3RD ST RIVERSIDE, CA 92507 and the phone number is (951) 329-7904.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.