Healthcare Provider Details

I. General information

NPI: 1740804889
Provider Name (Legal Business Name): ELAF OMAR SAEED DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 HAMILTON BLVD
TREXLERTOWN PA
18087-9101
US

IV. Provider business mailing address

6900 HAMILTON BLVD
TREXLERTOWN PA
18087-9101
US

V. Phone/Fax

Practice location:
  • Phone: 610-914-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS044615
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: