MEDICARE: TEHAUM SAOOD DMD

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	39697	TX

General Provider Information

NPI Number	:	1750067724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEHAUM SAOOD DMD

Provider Business Mailing Address
First Line	:	8306 WHITE WILLOW LANE
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77523
Country	:	US
Telephone Number	:	713-551-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	8465 MEMORIAL BLVD STE 100
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77640
Country	:	US
Telephone Number	:	409-853-3107
Fax Number	:

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

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	06/26/2023

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Directions to “ TEHAUM SAOOD DMD” Practice Location

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