Provider Demographics
NPI:1184846305
Name:SYED, HASEEN (DDS)
Entity Type:Individual
Prefix:
First Name:HASEEN
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 PENN AVE S
Mailing Address - Street 2:SUITE #202
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-2068
Mailing Address - Country:US
Mailing Address - Phone:952-888-1861
Mailing Address - Fax:952-888-1883
Practice Address - Street 1:8900 PENN AVE S
Practice Address - Street 2:SUITE #202
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-2068
Practice Address - Country:US
Practice Address - Phone:952-888-1861
Practice Address - Fax:952-888-1883
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11867122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist