Provider Demographics
NPI:1235414087
Name:SATTAR A. SYED DMDPA
Entity Type:Organization
Organization Name:SATTAR A. SYED DMDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SATTAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-994-3093
Mailing Address - Street 1:5507 KIRKWOOD HWY
Mailing Address - Street 2:KIRKWOOD MILLTOWN PLAZA
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5001
Mailing Address - Country:US
Mailing Address - Phone:302-994-9093
Mailing Address - Fax:302-994-5699
Practice Address - Street 1:5507 KIRKWOOD HWY
Practice Address - Street 2:KIRKWOOD MILLTOWN PLAZA
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5001
Practice Address - Country:US
Practice Address - Phone:302-994-9093
Practice Address - Fax:302-994-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001190261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental