Active NPI 1700537446 Individual Practitioner Male Practitioner

Dr. Haitham M Haitham Othman Agha , DDS

Dentist - Prosthodontics • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Haitham Othman Agha, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Austin, TX. Practice services are available at 512 W STASSNEY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

512 W Stassney Ln

Austin, TX 787453178

Telephone 9293892343

Associated Practice Facility / Clinic

🏢 I & J Dental Facility NPI 1518059245

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

21 Specialists

Practicing in Austin, TX (350 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: 2022-01-14

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License TX 31626

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 14, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2022

Registered at 512 W STASSNEY LN, AUSTIN, TX 787453178 (Tel: 9293892343)

📍

Updated Business Mailing Address January 14, 2022

Registered at 4095 COUNTRYDOWN DR, GREENVILLE, NC 278340546 (Tel: 9293892343)

👤

Provider Name / Credentials Updated January 14, 2022

Recorded as HAITHAM OTHMAN AGHA, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2022

Dentist (License #31626 in TX)

🟢

Initial NPI Registration & Enumeration January 14, 2022

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: 1700537446

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 14, 2022

Last Update: January 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4095 Countrydown Dr

Greenville, NC 278340546

Phone: 9293892343

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.