Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053083295 Individual Practitioner Male Practitioner

Fawaz Hatem , BDS, MSD

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Fawaz Hatem, BDS, MSD is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 11540 15TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11540 15th Ave Ne

Seattle, WA 981256322

Telephone 2064401500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 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: 2025-08-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE.61153474

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.

Oral Medicinist

NUCC Taxonomy Code: 125Q00000X

State License WA DENT.DE.61153474

A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.

Secondary Practice Locations

19150 Ne Woodinville Duvall Rd

Woodinville, WA 980779477

Phone: 4257888900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1750813457

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 05, 2025

Registered at 11540 15TH AVE NE, SEATTLE, WA 981256322 (Tel: 2064401500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Oral Medicinist (License #DENT.DE.61153474 in WA)

📍
Updated Practice Location July 11, 2022

Registered at 13317 NE 175TH ST STE AA, WOODINVILLE, WA 980726815 (Tel: 4253215614)

📍
Updated Business Mailing Address July 11, 2022

Registered at 3608 231ST PL SE, BOTHELL, WA 980216214 (Tel: 5095396475)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Dentist (License #DE.61153474 in WA)

NPI Profile Active October 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2021

Registered at 13442 BELLAIRE BLVD, HOUSTON, TX 770832640 (Tel: 8322325353)

📍
Updated Business Mailing Address October 05, 2021

Registered at 22410 KENDALL SHAY CT, KATY, TX 774508215

👤
Provider Name / Credentials Updated October 05, 2021

Recorded as FAWAZ HATEM, BDS, MSD

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

Dentist (License #37722 in TX)

🟢
Initial NPI Registration & Enumeration October 05, 2021

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: 1053083295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2021
Last Update: August 05, 2025
Sole Proprietor: Yes

Mailing Address

3608 231st Pl Se

Bothell, WA 980216214

Phone: 5095396475

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.