Healthcare Provider Details

I. General information

NPI: 1922701861
Provider Name (Legal Business Name): SAYA MINA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4494 PALMER RD N BLDG 39, 2ND FLOOR, PRIMARY CARE DENTISTRY
BETHESDA MD
20814
US

IV. Provider business mailing address

959 PAULSBORO DR
ROCKVILLE MD
20850-3027
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-0212
  • Fax:
Mailing address:
  • Phone: 240-702-6633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14232524-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: