Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fawaz Hatem, BDS, MSD

Individual provider Oral Medicine Dentistry · NPI 1053083295

Fawaz Hatem, BDS, MSD is an Oral Medicine Dentistry in Seattle, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11540 15th Ave NE
Seattle, WA 98125-6322
Phone: (206) 440-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19150 Ne Woodinville Duvall Rd, Woodinville, WA 98077-9477 — (425) 788-8900

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE.61153474 (WA)
Oral Medicine Dentistry Taxonomy 125Q00000X · Licence DENT.DE.61153474 (WA)

Record details

NPI number1053083295
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , MSD
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address3608 231st Pl Se, Bothell, WA 98021-6214

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