Provider Demographics
NPI:1326114968
Name:ZAYED, FAKERI F (DDS)
Entity Type:Individual
Prefix:
First Name:FAKERI
Middle Name:F
Last Name:ZAYED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E BRAKER LN
Mailing Address - Street 2:SUITE 2-3
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-3449
Mailing Address - Country:US
Mailing Address - Phone:512-832-1121
Mailing Address - Fax:877-833-4825
Practice Address - Street 1:1015 E BRAKER LN
Practice Address - Street 2:SUITE 2-3
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3449
Practice Address - Country:US
Practice Address - Phone:512-832-1121
Practice Address - Fax:877-833-4825
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice