Healthcare Provider Details

I. General information

NPI: 1477128445
Provider Name (Legal Business Name): FATIMA OSMAN SAEED DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2021
Last Update Date: 12/14/2022
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 E MAIN ST STE 6
BATAVIA OH
45103-3041
US

IV. Provider business mailing address

10623 MORAINE CIR APT 108
LOUISVILLE KY
40223-3694
US

V. Phone/Fax

Practice location:
  • Phone: 513-732-0541
  • Fax:
Mailing address:
  • Phone: 502-751-3742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10605
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: