Individual provider Active NPI

Ayham Al Momani, RDH

  • Dental Hygienist
  • Lakeland, FL
National Provider Identifier
1043182835
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH31701 Issued in FL
Practice address
3436 S Florida Ave Ste 100
Lakeland, FL 33803-4765
Phone
(863) 607-4700
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH31701 FL Primary

Addresses

Primary practice location

3436 S Florida Ave Ste 100
Lakeland, FL 33803-4765

Mailing address

13245 Longacre Dr
Windermere, FL 34786-6520
Phone (689) 286-8258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH31701FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
SNJ Dental Studio, LLC CurrentSince Sep 28, 2025 Accepting new patients
Herman Singh DMD PLLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

3436 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 607-4700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1043182835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 LONGACRE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866520",
            "telephone_number": "689-286-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 S FLORIDA AVE STE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034765",
            "telephone_number": "863-607-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MOMANI",
        "first_name": "AYHAM",
        "name_prefix": "Dr.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH31701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.