Healthcare Provider Details

I. General information

NPI: 1043659139
Provider Name (Legal Business Name): JAMES JOSEPH SAOUD D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5577 N ORACLE RD STE 101
TUCSON AZ
85704-3878
US

IV. Provider business mailing address

5400 E WILLIAMS BLVD APT 4305
TUCSON AZ
85711-7464
US

V. Phone/Fax

Practice location:
  • Phone: 520-777-0616
  • Fax: 520-888-3037
Mailing address:
  • Phone: 520-777-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDI02538700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD008863
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: