Baydoun Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAYDOUN DENTAL CORPORATION

Practice address

8997 Mira Mesa Blvd
San Diego, CA 92126-2738

Phone

(619) 704-2536

Fax

(619) 754-9379

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Alia H Baydoun, DDS

Title

Owner

Phone

(619) 704-2536

Specialties & licenses 1

Addresses

Other names 1

• Mira Mesa Smiles Dentistry Doing business as

Locations

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1235896309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8997 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262738",
            "telephone_number": "619-704-2536",
            "fax_number": "619-754-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYDOUN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "BAYDOUN",
        "authorized_official_first_name": "ALIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-704-2536",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Mesa Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelica Bayardo Bayardo, MD
• Elizani Bayardo
• Jennifer Bayardo
• Kimberly Bayardo
• Rynaysha Bayardo
• Steven Richard Bayer
• Jessica Bayes
• Vaheed Bayette, D.D.S.
• Bayho Family Dental
• Breona Bayles

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.