Provider Demographics
NPI:1043539661
Name:DALTON-SAJADI, NAOMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:DALTON-SAJADI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2716 STELTER PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2570
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3921 WOODSONS RESERVE PKWY
Practice Address - Street 2:SUITE 700
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:346-220-2402
Practice Address - Fax:346-220-2403
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011432A1223G0001X, 122300000X
TX279201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist