MEDICARE: ANNA DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	20236	TX
2	1223G0001X	General Practice Dentistry	28219	TX

General Provider Information

NPI Number	:	1881965218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNA DENTAL PLLC

Provider Business Mailing Address
First Line	:	6370 N ELDRIDGE PKWY
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77041-3516
Country	:	US
Telephone Number	:	713-983-0099
Fax Number	:	713-983-0071

Provider Business Practice Location Address
First Line	:	6370 N ELDRIDGE PKWY
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77041-3516
Country	:	US
Telephone Number	:	713-983-0099
Fax Number	:	713-983-0071

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ALI SAAM SAJADI
Credential	:	DDS
Telephone Number	:	713-983-0099

Provider Enumeration Date	:	01/17/2012
Last Update Date	:	12/08/2014

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Directions to “ANNA DENTAL PLLC ” Practice Location

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