Provider Demographics
NPI:1235545476
Name:MASOUD, ZIAD (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:ZIAD
Middle Name:
Last Name:MASOUD
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11851 FM423
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3929
Mailing Address - Country:US
Mailing Address - Phone:972-798-8282
Mailing Address - Fax:972-798-8060
Practice Address - Street 1:11851 FM423
Practice Address - Street 2:SUITE 500
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-3929
Practice Address - Country:US
Practice Address - Phone:972-798-8282
Practice Address - Fax:972-798-8060
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305551223P0221X
WADE603604201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry