Provider Demographics
NPI:1174680714
Name:SAYED, JON S (DDS)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:S
Last Name:SAYED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30212 TOMAS
Mailing Address - Street 2:SUITE 240
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2172
Mailing Address - Country:US
Mailing Address - Phone:949-888-8808
Mailing Address - Fax:949-888-7828
Practice Address - Street 1:30212 TOMAS
Practice Address - Street 2:SUITE 240
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2172
Practice Address - Country:US
Practice Address - Phone:949-888-8808
Practice Address - Fax:949-888-7828
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434931223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry