Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JALAL FATEHI, DDS
Active Sole ProprietorJALAL FATEHI, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in OLD WESTBURY, New York. NPI 1619193521 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · OLD WESTBURY, NY
Registration Details
- NPI Number
- 1619193521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2007 (19.357216457327 yrs)
- Last Updated
- Oct 10, 2023
- Licenses
-
22DI01985000 (NJ)046724 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 PHEASANT RUNOLD WESTBURY, NY, 115681703Browse NY providers · Browse ZIP 11568
- Phone
- 5164842959
- Fax
- 5164842154
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.