Individual provider Active NPI

Anuar Sammy Odeh, DMD

  • General Practice Dentistry
  • Guaynabo, PR
National Provider Identifier
1699430694
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3253 Issued in PR
Practice address
101 Ave San Patricio
Guaynabo, PR 00968-2645
Phone
(787) 641-9341
NPI assigned
Nov 4, 2021
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3253 PR Primary

Addresses

Primary practice location

101 Ave San Patricio
Guaynabo, PR 00968-2645

Mailing address

PO Box 11503
San Juan, PR 00922-1503
Phone (787) 641-9341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003709 PR Practitioner - Dentist 3971096066 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Puerto Rico School of Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Ave San Patricio
Guaynabo, PR 00968

101 Ave San Patricio
Guaynabo, PR 00968-2645
Phone (787) 366-4424

PO Box
Suite 11503
San Juan, PR 00922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3253PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perla Dental LLC CurrentSince Nov 7, 2025 Accepting new patients
Dr DS LLC General Practice Past Accepting new patients

Locations

101 Ave San Patricio
Ste 820
Guaynabo, PR 00968
Phone (787) 366-4424

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1699430694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221503",
            "telephone_number": "787-641-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-641-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMY ODEH",
        "first_name": "ANUAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.