Deanna Fuad Ayyash, DDS
Individual provider Active NPI Dentist · The Colony, TX
NPI 1982181632 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1982181632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 34444 (TX)
- Practice address
- 4940 SH 121 Ste 115
The Colony, TX 75056-2928 - Phone
- (214) 983-0413
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34444 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34444 | TX | |
| Dentist | 122300000X | 34444 | TX | Yes |
Addresses
Primary practice location
4940 SH 121 Ste 115
The Colony, TX 75056-2928
Mailing address
4940 SH 121 Ste 115
The Colony, TX 75056-2928
Phone (214) 983-0413
Other practice location 1
692 W Pioneer Pkwy
Grand Prairie, TX 75051-4900
Phone (972) 743-5810
Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.