Provider Demographics
NPI:1790657849
Name:BEGLEY, DORIT HAMISH (RDHAP)
Entity type:Individual
Prefix:
First Name:DORIT
Middle Name:HAMISH
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 ARIZONA ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-4010
Mailing Address - Country:US
Mailing Address - Phone:619-993-0248
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:3440 ARIZONA ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-4010
Practice Address - Country:US
Practice Address - Phone:619-993-0248
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1173124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist