Healthcare Provider Details

I. General information

NPI: 1134946197
Provider Name (Legal Business Name): MOHAMMAD ASSAD SAEED DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 E CARONDELET DR STE 355
TUCSON AZ
85710-3523
US

IV. Provider business mailing address

6565 E CARONDELET DR STE 355
TUCSON AZ
85710-3523
US

V. Phone/Fax

Practice location:
  • Phone: 520-733-9225
  • Fax:
Mailing address:
  • Phone: 520-733-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number110370
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012664
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: