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Active NPI 1376172379 Individual Practitioner Male Practitioner

Dr. Husam (Sam) Muwafaq , DMD

Dentist - General Practice • Georgetown, KY

Professional Overview & Biography Verified Profile Summary

Dr. Husam (Sam) Muwafaq, DMD is a registered healthcare professional specializing in Dentist - General Practice in Georgetown, KY. Practice services are available at 150 MOUNT VERNON DR STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Mount Vernon Dr Ste 201

Georgetown, KY 403241410

Telephone 8593173864
Associated Practice Facility / Clinic
🏢 Georgetown Sedation Dentistry Facility NPI 1992582571

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Georgetown, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Georgetown, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 10476

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 09, 2024

Registered at 150 MOUNT VERNON DR STE 201, GEORGETOWN, KY 403241410 (Tel: 8593173864)

📍
Updated Business Mailing Address July 09, 2024

Registered at 150 MOUNT VERNON DR STE 201, GEORGETOWN, KY 403241410 (Tel: 8593173864)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Student in an Organized Health Care Education/Training Program

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as HUSAM (SAM) MUWAFAQ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Dentist (License #10476 in KY)

NPI Profile Active April 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2020

Registered at 740 S LIMESTONE ROOM A262, LEXINGTON, KY 405360001 (Tel: 8593236723)

📍
Updated Business Mailing Address April 02, 2020

Registered at 740 S LIMESTONE ROOM A262, LEXINGTON, KY 405360001

👤
Provider Name / Credentials Updated April 02, 2020

Recorded as HUSAM MUWAFAQ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376172379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2020
Last Update: July 09, 2024
Sole Proprietor: No

Mailing Address

150 Mount Vernon Dr Ste 201

Georgetown, KY 403241410

Phone: 8593173864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.