Samira Jay Oveson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11318168-9921 Issued in UT

Practice address

1408 S 1100 E Ste a
Salt Lake City, UT 84105-2400

Phone

(801) 828-5315

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Dr. Samira Akhave Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lilac Dentistry

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1861342636
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1033462817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521781",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841521781",
            "telephone_number": "801-828-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S 1100 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052400",
            "telephone_number": "801-828-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVESON",
        "first_name": "SAMIRA",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28689",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61893",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "11318168-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIRA",
            "last_name": "AKHAVE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Overbury, M.D
• Overlake Terrace Assisted Living
• Jessica M Overson
• Amber Mecham Overton, PHARMD
• Melissa Oveson
• Angela Mae Oviatt, MA
• Roy Oviatt
• Sean Craig Oviatt, CPSS
• Theophilus E Owan, M.D.
• Andrew Owen

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.