MEDICARE: A. SAYED 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	1223P0300X	Periodontics	2901017116	MI
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1518011634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. SAYED DDS PC

Provider Business Mailing Address
First Line	:	2425 E LINCOLN ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7122
Country	:	US
Telephone Number	:	248-901-0000
Fax Number	:	248-901-0003

Provider Business Practice Location Address
First Line	:	2425 E LINCOLN ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7122
Country	:	US
Telephone Number	:	248-901-0000
Fax Number	:	248-901-0003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABDULLAH SAYED
Credential	:	DDS
Telephone Number	:	248-901-0000

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	03/30/2021

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