MEDICARE: HASSAN SAAD DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	19990	MI

General Provider Information

NPI Number	:	1225299639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASSAN SAAD DDS PC

Provider Business Mailing Address
First Line	:	8810 MIDDLEBELT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-4052
Country	:	US
Telephone Number	:	734-421-2675
Fax Number	:	734-421-7935

Provider Business Practice Location Address
First Line	:	8010 N MIDDLEBELT RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-1808
Country	:	US
Telephone Number	:	734-421-2675
Fax Number	:	734-421-7935

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HASSAN A SAAD
Credential	:	DDS
Telephone Number	:	734-421-2675

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	11/02/2016

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