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MOHAMAD FAWAZ DMD
NPI 1629716907
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 25, 2022
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 288-6517 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 24, 2025, Jul 24, 2023, Aug 15, 2022 and 1 more (4 updates tracked since 2022).

About Mohamad Fawaz Dmd NPPES

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

MOHAMAD FAWAZ DMD (NPI 1629716907) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Virginia (DN123645) and active in the NPI registry since May 2022. He maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1629716907
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMAD FAWAZCredential: DMD
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0566
Mailing Address1430 John Wesley Gilbert Drive AugustaAugusta, GA 30912-0257 · (706) 288-6517
Phone(706) 288-6517
Sole ProprietorNo
Enumeration DateMay 25, 2022
Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1629716907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · DN123645
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0442000458 (VA)
1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
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Secondary Practice Location 1

Location 1VCUHS Dept of OMFS Residency, 1250 E Marshall StRichmond, VA 23298-0566 · Phone (804) 828-0602

Other Providers at the Same Location NPPES 20

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

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
RYAN PATRICK MOONEYHAM DDS
Dentist (Oral and Maxillofacial Surgery)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716

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 Mohamad Fawaz's NPI number?

The NPI number for Mohamad Fawaz is 1629716907. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Mohamad Fawaz located?

Mohamad Fawaz practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 288-6517.

What is Mohamad Fawaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mohamad Fawaz was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.