Healthcare Provider Details

I. General information

NPI: 1043660525
Provider Name (Legal Business Name): YOUSSEF RIAD D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WOODLANDS PKWY STE 6
OLDSMAR FL
34677-2033
US

IV. Provider business mailing address

301 WOODLANDS PKWY STE 5
OLDSMAR FL
34677-2033
US

V. Phone/Fax

Practice location:
  • Phone: 727-784-0929
  • Fax:
Mailing address:
  • Phone: 727-784-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN 21819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: