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1023609948 NPI number — FAHAD LAITH UKAILY DDS

NPI Number: 1023609948
Health Care Provider/Practitioner: FAHAD LAITH UKAILY DDS

Information about “1023609948” NPI (FAHAD LAITH UKAILY DDS) exists in 1023609948 in HTML format HTML  |  1023609948 in plain Text format TXT  |  1023609948 in PDF (Portable Document Format) PDF  |  1023609948 in an XML format XML  formats.

NPI Number : 1023609948 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023609948",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UKAILY",
    "FirstName": "FAHAD",
    "MiddleName": "LAITH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOHAMMED",
    "OtherFirstName": "FAHAD",
    "OtherMiddleName": "LAITH MOHAMMED",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10800 DEWITT CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL CAJON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92020-8113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-956-6519",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1539 E PLAZA BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NATIONAL CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91950-3641",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-419-1248",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/02/2021",
    "LastUpdateDate": "07/24/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "105988",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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