DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SELENE AYUSO, DMD

Active Sole Proprietor

SELENE AYUSO, DMD is a Pediatric Dentistry healthcare provider located in SPRINGFIELD, Pennsylvania. NPI 1215552633 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SPRINGFIELD, PA

Registration Details

NPI Number
1215552633
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2020 (6.1871232691078 yrs)
Last Updated
Aug 23, 2023
Licenses
DN1858662 (MA)
DS043091 (PA)
Sole Proprietor
Yes

Practice Information

Address
130 S STATE RD STE 300
SPRINGFIELD, PA, 190641232
Browse PA providers · Browse ZIP 19064
Phone
6106221949
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in SPRINGFIELD, PA

Name Credential NPI
DR. GRACIE MEITING LUO DDS 1437723376
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.