Provider Demographics
NPI:1225299639
Name:HASSAN SAAD DDS PC
Entity Type:Organization
Organization Name:HASSAN SAAD DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-421-2675
Mailing Address - Street 1:8810 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4052
Mailing Address - Country:US
Mailing Address - Phone:734-421-2675
Mailing Address - Fax:734-421-7935
Practice Address - Street 1:8010 N MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1808
Practice Address - Country:US
Practice Address - Phone:734-421-2675
Practice Address - Fax:734-421-7935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI19990122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1548150Medicaid