Organization Active NPI

Bryan D. Oeth,DMD,Cosmetic & Restorative Dental Care of Lake Mary, FL, PA

Doing business as Oeth & Ibrahim Dental Care

  • General Practice Dentistry
  • Lake Mary, FL
National Provider Identifier
1770423410
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRYAN D. OETH,DMD,COSMETIC & RESTORATIVE DENTAL CARE OF LAKE MARY, FL, PA
Doing business as
Oeth & Ibrahim Dental Care
Practice address
737 Stirling Center PL Ste 1801
Lake Mary, FL 32746-5715
Phone
(407) 805-8808
Fax
(407) 805-8905
NPI assigned
Mar 31, 2026
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Peter Ibrahim, DMDNPI 1255074373
Title
Dentist/Vice President
Phone
(321) 276-8465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

737 Stirling Center PL Ste 1801
Lake Mary, FL 32746-5715

Mailing address

737 Stirling Center PL Ste 1801
Lake Mary, FL 32746-5715
Phone (407) 805-8808

Other names 1

  • Oeth & Ibrahim Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

737 Stirling Center Pl
Ste 1801
Lake Mary, FL 32746
Phone (407) 805-8808

Practitioners & affiliated clinicians

Practitioners 1

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": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1770423410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL STE 1801",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465715",
            "telephone_number": "407-805-8808",
            "fax_number": "407-805-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL STE 1801",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465715",
            "telephone_number": "407-805-8808",
            "fax_number": "407-805-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D. OETH,DMD,COSMETIC & RESTORATIVE DENTAL CARE OF LAKE MARY, FL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DENTIST/VICE PRESIDENT",
        "authorized_official_telephone_number": "321-276-8465",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oeth & Ibrahim Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.