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

Wally Bashawaty, DDS

Individual provider Dentist · NPI 1780721621

Wally Bashawaty, DDS is a Dentist in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1501 Superior Ave Ste 306
Newport Beach, CA 92663-3641
Phone: (949) 645-8222
Fax: (949) 645-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 45429 (CA)

Record details

NPI number1780721621
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1501 Superior Ave Ste 306, Newport Beach, CA 92663-3641

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