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Paul Mirdamadi Oral Surgery INC

Dentist, Oral and Maxillofacial Surgery in Encinitas, CA. Organization (NPI-2).

NPI number1508778010
StatusActive
Last updated in NPPESNov 9, 2026

Details

NPI
1508778010
Entity type
Organization (NPI-2)
Legal business name
Paul Mirdamadi Oral Surgery INC
Organization subpart
No
Enumeration date
Sep 21, 2026
Certification date
Nov 9, 2026
Last updated
Nov 9, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery––Yes

Other names

  • Roya Oral Surgery (Doing Business As)
  • Roya Oral Surgery Wisdom Teeth & Dental Implants (Doing Business As)

Practice location

511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781

Phone 760-456-9956 · Fax 760-456-9978

Mailing address

511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781

Phone 760-456-9956 · Fax 760-456-9978

Authorized official

Paul Mirdamadi
Ceo/Surgeon
2132594867

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Oral and Maxillofacial Surgery (Dentist) providers in Encinitas, CA

All 8 Oral and Maxillofacial Surgery (Dentist) providers in Encinitas · All 2,508 providers in Encinitas

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