Provider Demographics
NPI:1285189951
Name:AZIZ, SAADIA AALIYAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAADIA
Middle Name:AALIYAH
Last Name:AZIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2414
Mailing Address - Country:US
Mailing Address - Phone:978-535-3800
Mailing Address - Fax:
Practice Address - Street 1:38 THATCHER ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3231
Practice Address - Country:US
Practice Address - Phone:617-271-1170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18574001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice