MEDICARE: DR. PAUL ASSAD SAIBA DDS

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	0401420058	VA

General Provider Information

NPI Number	:	1427981687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ASSAD SAIBA DDS

Provider Business Mailing Address
First Line	:	7217 BYRNELEY LN
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-6015
Country	:	US
Telephone Number	:	703-342-8630
Fax Number	:

Provider Business Practice Location Address
First Line	:	7217 BYRNELEY LN
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-6015
Country	:	US
Telephone Number	:	703-342-8630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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