Provider Demographics
NPI:1235529785
Name:MARK G. SAYEG, DDS, PC
Entity Type:Organization
Organization Name:MARK G. SAYEG, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAYEG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-255-6782
Mailing Address - Street 1:185 ALLEN RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4836
Mailing Address - Country:US
Mailing Address - Phone:404-255-6782
Mailing Address - Fax:
Practice Address - Street 1:185 ALLEN RD
Practice Address - Street 2:SUITE 150
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4836
Practice Address - Country:US
Practice Address - Phone:404-255-6782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN009584261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental