Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sam Ayad Issa, BDS, HDD

Individual provider Dentist · NPI 1720577505

Dr. Sam Ayad Issa, BDS, HDD is a Dentist in Brandon, Florida. Licensed in Florida and Washington. Registered with an NPI since 2018.

Licensed in
FL, WA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

410 W Bloomingdale Ave
Brandon, FL 33511-7402
Phone: (813) 654-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN25441 (FL)
Dentist Taxonomy 122300000X · Licence 61029044 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720577505
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , HDD
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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