Healthcare Provider Details

I. General information

NPI: 1487536413
Provider Name (Legal Business Name): FADI BITAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY PKWY
HIGH POINT NC
27268-4260
US

IV. Provider business mailing address

ONE UNIVERSITY PARKWAY HIGH POINT
HIGH POINT NC
27268-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-271-7900
  • Fax:
Mailing address:
  • Phone: 336-271-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0297
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: