Healthcare Provider Details

I. General information

NPI: 1417873043
Provider Name (Legal Business Name): AAYUSH MUKUND DUBEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5951 HEATHERDOWNS BLVD STE 1
TOLEDO OH
43614-4601
US

IV. Provider business mailing address

5951 HEATHERDOWNS BLVD STE 1
TOLEDO OH
43614-4601
US

V. Phone/Fax

Practice location:
  • Phone: 419-839-3599
  • Fax:
Mailing address:
  • Phone: 419-839-3599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: