Falastin R. Abu-Samn, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN22279 Issued in FL

Practice address

2570 S Atlantic Ave
Daytona Beach, FL 32118-5523

Phone

(386) 304-2677

Fax

(386) 304-1899

NPI assigned

Jun 11, 2009

Last updated

Jan 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magical Smiles Pediatric Dentistry

  • Dental Clinic/Center
  • Lake Mary, FL
  • NPI 1659886034
  NPD (past) Authorized official
• Marina Dental Center Inc.

  • Dentist
  • Daytona Beach Shores, FL
  • NPI 1023382603
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1063649580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 OAK SPRINGS PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464732",
            "telephone_number": "407-417-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 S ATLANTIC AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185523",
            "telephone_number": "386-304-2677",
            "fax_number": "386-304-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-SAMN",
        "first_name": "FALASTIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN22279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Roberto Abando, MD
• Malu Abbott Castillo
• George Abdelnor
• Ability Health Services, Inc
• About You Brace and Limb, LLC
• Halley Acosta
• Jerome Adadzi
• Abigail Lynn Adams, M.D.
• Daniella Adams
• Ina Ruth Adams

• Pediatric Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.