Organization Active NPI

Michael B. Dayoub, DDS, Ms

  • Periodontics
  • Savannah, GA
National Provider Identifier
1578778841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
008011 Issued in GA
Legal business name
MICHAEL B. DAYOUB, DDS, MS
Practice address
310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632
Phone
(912) 355-2688
Fax
(912) 355-2657
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Blaize Dayoub, DDS, MS
Title
Periodontist
Phone
(912) 355-2688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 008011 GA Primary

Addresses

Primary practice location

310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632

Mailing address

310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632
Phone (912) 355-2688

Other identifiers 1

IdentifierTypeStateIssuer
1427068485OtherGAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578778841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688",
            "fax_number": "912-355-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688",
            "fax_number": "912-355-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. DAYOUB, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAYOUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BLAIZE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "912-355-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "008011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427068485",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.