Provider Demographics
NPI:1437905429
Name:MOBIED, AYAH
Entity type:Individual
Prefix:
First Name:AYAH
Middle Name:
Last Name:MOBIED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 COBALT DR
Mailing Address - Street 2:
Mailing Address - City:WESTGATE
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1979
Mailing Address - Country:US
Mailing Address - Phone:716-986-4624
Mailing Address - Fax:
Practice Address - Street 1:564 E RIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1228
Practice Address - Country:US
Practice Address - Phone:585-342-1323
Practice Address - Fax:585-342-1390
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0651011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice