Healthcare Provider Details

I. General information

NPI: 1285898536
Provider Name (Legal Business Name): ZAID W ABU-SEIR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25916 DEQUINDRE RD SUITE B
WARREN MI
48091-6112
US

IV. Provider business mailing address

25916 DEQUINDRE RD SUITE B
WARREN MI
48091-6112
US

V. Phone/Fax

Practice location:
  • Phone: 586-755-2770
  • Fax: 586-755-1690
Mailing address:
  • Phone: 586-755-2770
  • Fax: 586-755-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2901019911
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: