Wissam Ayoub
Dentist - General Practice Oral and Maxillofacial Surgeon
18800 Main St Ste 203
Huntington Beach
, California 92648-1718
Wissam Ayoub
Dentist - General Practice Oral and Maxillofacial Surgeon
18800 Main St Ste 203
Huntington Beach
, California 92648-1718
(714) 848-2277
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Wissam Ayoub
- 18800 Main St Ste 203
- Huntington Beach, CA
- Zip : 92648-1718
- Phone : (714) 848-2277
Second Address
- Wissam Ayoub
- 18800 Main St Ste 203
- Huntington Beach, CA
- Zip : 92648-1718
- Phone : (714) 848-2277
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 55496 | CA |
| N | 213EG0000X | General Practice | 55496 | CA |
| N | 1223G0001X | General Practice | D7079 | AZ |
| N | 213EG0000X | General Practice | D7079 | AZ |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 55496 | CA |
National Provider Identifier
| NPI | 1053450577 |
|---|---|
| Provider Name | Wissam Ayoub |
| First Address | Huntington Beach, CA 92648-1718 |
| Second Address | Huntington Beach, CA 92648-1718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 09/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.