Active NPI 1699786152 Individual Practitioner Male Practitioner

Dr. Sami K. Banoub , DMD

Dentist - General Practice • Lake Mary, FL

Professional Overview & Biography Verified Profile Summary

Dr. Sami Banoub, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lake Mary, FL. Practice services are available at 752 STIRLING CENTER PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

752 Stirling Center Pl
Suite 1000

Lake Mary, FL 327464889

Telephone 4079155421

Associated Practice Facility / Clinic

🏢 Regency Endocrinology, Diabetes And Metabolism, Inc. Facility NPI 1215957741

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Mary, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

31 Specialists

Practicing in Lake Mary, FL (7473 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN16659

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Maha Ansara , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1295754356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2014

Registered at 752 STIRLING CENTER PL, SUITE 1000, LAKE MARY, FL 327464889 (Tel: 4079155421)

📍

Updated Business Mailing Address July 11, 2014

Registered at 752 STIRLING CENTER PL, SUITE 1000, LAKE MARY, FL 327464889 (Tel: 4079155421)

👤

Provider Name / Credentials Updated July 11, 2014

Recorded as SAMI BANOUB, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Dentist (License #DN16659 in FL)

🟢

Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699786152

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2006

Last Update: July 11, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

752 Stirling Center Pl, Suite 1000

Lake Mary, FL 327464889

Phone: 4079155421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.