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AL HAITHAM AL SHETAWI DMD MD NPI 1871760314


NPI Information

NPI: 1871760314
Provider Name: AL HAITHAM AL SHETAWI, DMD, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
45 READE PL
DYSON CENTER, 3RD FLOOR
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 483-6920
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Al Haitham Al Shetawi, DMD, MD is an oral maxillofacial surgery in Poughkeepsie, NY with 9 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Al Haitham Al Shetawi, DMD, MD NPI is 1871760314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2015

The provider's business location address is:

45 READE PL
DYSON CENTER, 3RD FLOOR
POUGHKEEPSIE, NY
ZIP 12601-947
Phone: (845) 483-6920

The NPI 1871760314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

The enumeration date for this NPI number is 5/14/2008 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist054793NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery054793NEW YORKNo
3204E00000XOral & Maxillofacial Surgery282208NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.