1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Dentist
  6. NPI Profile

DR. MARY AYOUB DMD
NPI 1174138440
Dentist in Lakeland, FL

Active since September 13, 2020PECOS Enrolled
4744 S FLORIDA AVE, LAKELAND, FL 33813(863) 644-1226 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Ayoub Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY AYOUB DMD (NPI 1174138440) is an individual dentist in Lakeland, Florida, licensed in Florida (DN25477) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174138440
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY AYOUBCredential: DMD
Location Address4744 S FLORIDA AVELakeland, FL 33813-2181
Mailing Address8107 Champions Cir Apt 201Champions Gate, FL 33896-9615 · (727) 686-5113
Phone(863) 644-1226
Sole ProprietorNo
Enumeration DateSeptember 13, 2020
NPPES CertifiedSeptember 13, 2020
✔ NPI 1174138440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN25477
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4744 S FLORIDA AVE, Lakeland, FL 33813
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ayoub Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK FERRY
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
COAST FLORIDA P.A.
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
DR. ASHLEY AGNINI DALE DDS
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
DR. PHATTARA GIBBS DMD
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
DR. ELA MARIA TORRES-MOORE DMD
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
DR. YOELIN MOHIP
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
DR. GUSTAVO JESUS GARI DDS
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226
KRYSTELLE DUVERT
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-1226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ayoub's NPI number?

The NPI number for Mary Ayoub is 1174138440. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Mary Ayoub located?

Mary Ayoub practices at 4744 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 644-1226.

What is Mary Ayoub's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Ayoub enrolled in Medicare?

Yes. Mary Ayoub is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ayoub accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Mary Ayoub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ayoub was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.