OrganizationSamuel Hayatt Dmd, Inc.DentistDental ProvidersPractice Address1530 Hilton Head Rd Ste 111, El Cajon, CA 92019-4655(619) 441-8000PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Hayatt Dmd, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407273139Provider TypeOrganizationFull NameSamuel Hayatt Dmd, Inc.SubpartNoEnumeration Date3/19/2014Last Updated3/19/2014Contact InformationPractice LocationPractice Address1530 Hilton Head Rd Ste 111, El Cajon, CA 92019-4655Phone(619) 441-8000Fax(619) 441-8012Mailing LocationMailing Address1530 Hilton Head Rd Ste 111, El Cajon, CA 92019-4655Phone(619) 441-8000Fax(619) 441-8012Authorized OfficialNameMartinez, Mayra (Practice Manager)Phone(619) 428-5555Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense55781California