DR. SAIED SAMUEL AHDOUT (NPI# 1215032115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215032115 |
| Entity Type | Individual |
| Full Name | DR. SAIED SAMUEL AHDOUT |
| Credential | DMD |
| Practice Address |
23905 Clinton Keith Rd Ste. 108 Wildomar CA 92595-7897 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 9513049700 |
| Practice Fax Number | 9513049711 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
37772 | CA | Dental Providers |
| Street Address |
23905 CLINTON KEITH RD STE. 108 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-7897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477578458 | Mark Alan Jury | Optometrist | 23905 Clinton Keith Rd, Suite115, Wildomar, CA 92595-7897 | 2006-07-12 |
| 1992152383 | Marie Bonovitz | Social Worker | 23905 Clinton Keith Rd, #114-441, Wildomar, CA 92595-7897 | 2016-05-16 |
| 1073842183 | Charity Morris | Physician Assistant | 23905 Clinton Keith Rd, #114, Wildomar, CA 92595-7897 | 2009-12-18 |
| 1558591545 | Brian Lemoyne Parker | Optometrist | 23905 Clinton Keith Rd, Ste 115, Wildomar, CA 92595-7897 | 2009-07-23 |
| 1659497733 | Donahue Chiropractic, Inc | Chiropractor | 23905 Clinton Keith Rd, Suite 105, Wildomar, CA 92595-7897 | 2007-03-21 |
| 1376627000 | Mark A Jury, Od A Optometric Professional Corporation | Optometrist | 23905 Clinton Keith Rd, Ste #115, Wildomar, CA 92595-7897 | 2006-10-25 |
| 1457445231 | Diana Do-yabut and Bryan Watanabe Dental Corporation | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-10-03 |
| 1134231467 | Carol Joy Cole | Social Worker | 23905 Clinton Keith Rd, 114-196, Wildomar, CA 92595-7897 | 2006-08-31 |
| 1629189030 | Paul W Taylor | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-08-31 |
| 1578674982 | Joshua E Walker | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.