SELENE AYUSO DMD
NPI 1215552633
Dentist - Pediatric Dentistry in Springfield, PA

Active since June 11, 2020
130 S STATE RD STE 300, SPRINGFIELD, PA 19064(610) 622-1949 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Jun 11, 2020 (2 updates tracked since 2020).

About Selene Ayuso Dmd NPPES

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

SELENE AYUSO DMD (NPI 1215552633) is an individual pediatric dentistry provider in Springfield, Pennsylvania, licensed in Pennsylvania (DS043091) and active in the NPI registry since June 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215552633
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSELENE AYUSOCredential: DMD
Location Address130 S STATE RD STE 300Springfield, PA 19064-1232
Mailing Address130 S State Rd Ste 300Springfield, PA 19064-1232 · (617) 997-3565
Sole ProprietorYes
Enumeration DateJune 11, 2020
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1215552633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS043091
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN1858662 (MA)
130 S STATE RD STE 300, Springfield, PA 19064

Secondary Practice Locations 2

Location 1427 Main StMalden, MA 02148-5012 · Phone (781) 322-5070
Location 2459 BroadwayEverett, MA 02149-3614 · Phone (617) 389-2005

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
130 S STATE RD STE 300
SPRINGFIELD, PA 19064
Dentist (Pediatric Dentistry)
130 S STATE RD STE 300
SPRINGFIELD, PA 19064
Dentist (Orthodontics and Dentofacial Orthopedics)
130 S STATE RD STE 300
SPRINGFIELD, PA 19064
Dentist (Pediatric Dentistry)
130 S STATE RD STE 300
SPRINGFIELD, PA 19064

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 Selene Ayuso's NPI number?

The NPI number for Selene Ayuso is 1215552633. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Selene Ayuso located?

Selene Ayuso practices at 130 S State Rd Ste 300, Springfield, PA 19064. The listed phone number is (610) 622-1949.

What is Selene Ayuso's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Selene Ayuso accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Selene Ayuso 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 Selene Ayuso was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.