Provider Demographics
NPI:1770963746
Name:AL DAYEH, AYMAN (BDS, MSD, PHD)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:
Last Name:AL DAYEH
Suffix:
Gender:M
Credentials:BDS, MSD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 MAIN COURT
Mailing Address - Street 2:
Mailing Address - City:KEFRAYA
Mailing Address - State:WEST BEKAA
Mailing Address - Zip Code:4047
Mailing Address - Country:LB
Mailing Address - Phone:961-864-5282
Mailing Address - Fax:
Practice Address - Street 1:875 UNION AVE, S312
Practice Address - Street 2:DEPARTMENT OF ORTHODONTICS
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163
Practice Address - Country:US
Practice Address - Phone:901-448-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN97931223X0400X
TX286601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics