NPIMap

Organization Active NPI

Oviedo Smiles Dentistry, PA

Doing business as Oviedo Smiles Dentistry

  • Dentist
  • Oviedo, FL
National Provider Identifier
1366943953
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OVIEDO SMILES DENTISTRY, PA
Doing business as
Oviedo Smiles Dentistry
Practice address
65 W. Mitchell Hammock Rd.
Suite 1511
Oviedo, FL 32765
Phone
(407) 604-0399
Fax
(407) 604-0405
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Dr. Maya Ayoub, DDS
Title
Owner
Phone
(615) 830-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

65 W. Mitchell Hammock Rd.
Suite 1511
Oviedo, FL 32765

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • OVIEDO SMILES DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

65 W Mitchell Hammock Rd
Ste 1511
Oviedo, FL 32765
Phone (407) 604-0399

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1366943953",
    "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": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W. MITCHELL HAMMOCK RD.",
            "address_2": "SUITE 1511",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-604-0399",
            "fax_number": "407-604-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO SMILES DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-830-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVIEDO SMILES DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.