Active NPIIndividual provider

Samantha R Ayala, DMD

Dentist, General Practice in Cottage Grove, Oregon

NPI Number1538717186
Practice location
1775 E Main St, Cottage Grove, OR 97424-2245
Fax
—
Last updated
August 27, 2019

Samantha R Ayala, DMD is a Dentist, General Practice based in Cottage Grove, OR. Samantha R Ayala, DMD holds the professional credentials of DMD. The NPI number for Samantha R Ayala, DMD is 1538717186 and holds license No. D11145 (OR). The current practice location address is 1775 E Main St, Cottage Grove, OR 97424-2245 and the office can be reached by phone at 541-649-7023. The NPI was assigned on August 27, 2019 and the record was last updated in NPPES on August 27, 2019.

●Provider Profile Details

NPI Number
1538717186
Provider Name
Samantha Rae Ayala
Credential
DMD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Enumeration Date
August 27, 2019
Last Update Date
August 27, 2019
NPI Status
Active

◉Business Practice Location Address

Address
1775 E Main St
Cottage Grove, OR 97424-2245
State
Oregon
ZIP
97424-2245
Country
US
Phone Number
541-649-7023

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✉Business Mailing Address

Address
3319 Murry Dr
Eugene, OR 97405-6246
City
Eugene
State
OR
ZIP
97405-6246
Phone Number
503-881-4385

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYesD11145OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Samantha R Ayala, DMD?

The NPI number of Samantha R Ayala, DMD is 1538717186. It was assigned on August 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Samantha R Ayala, DMD?

Samantha R Ayala, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. D11145 (OR).

Where does Samantha R Ayala, DMD practice?

The practice location is 1775 E Main St, Cottage Grove, OR 97424-2245. The office can be reached at 541-649-7023 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538717186 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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