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Deactivated NPI 1467441949 Deactivated / Inactive NPI Male Practitioner

Dr. Samir Jacques Ayoub , DMD

Dentist - General Practice • Mckeesport, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samir Ayoub has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2005
NPI Deactivation Date March 29, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Samir Ayoub, DMD was a registered Dentist - General Practice practicing in Mckeesport, PA. Throughout an active medical career spanning 12 years, Dr. Ayoub provided care at the practice location at 4304 WALNUT ST until profile deactivation on 2017-03-29.

Practice Location & Contact Primary Location

Practice Address

4304 Walnut St
Ste #5

Mckeesport, PA 151326028

Telephone 4127513335
Fax 4127513692
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mckeesport, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Mckeesport, PA (4936 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 PA DS 019383 L

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
NPI 1043214000

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 29, 2017

Record deactivated on March 29, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4304 WALNUT ST, STE #5, MCKEESPORT, PA 151326028 (Tel: 4127513335)

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Updated Business Mailing Address July 09, 2007

Registered at 4304 WALNUT ST, STE #5, MCKEESPORT, PA 151326028 (Tel: 4127513335)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SAMIR AYOUB, D.M.D.,

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DS 019383 L in PA)

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Initial NPI Registration & Enumeration October 18, 2005

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: 1467441949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: July 09, 2007
Deactivation Date: March 29, 2017

Mailing Address

4304 Walnut St, Ste #5

Mckeesport, PA 151326028

Phone: 4127513335

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.