Healthcare Provider Details

I. General information

NPI: 1811097611
Provider Name (Legal Business Name): AELIA SYED D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 DEALE RD
DEALE MD
20751
US

IV. Provider business mailing address

806 LINDSEY MANOR LN
SILVER SPRING MD
20905-3823
US

V. Phone/Fax

Practice location:
  • Phone: 410-867-3215
  • Fax: 410-867-3211
Mailing address:
  • Phone: 301-538-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13276
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: