Provider Demographics
NPI:1407978422
Name:BASIL SAIEDY DDS LLC
Entity Type:Organization
Organization Name:BASIL SAIEDY DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIEDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-531-7100
Mailing Address - Street 1:6100 DAY LONG LANE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029
Mailing Address - Country:US
Mailing Address - Phone:410-531-7100
Mailing Address - Fax:410-531-4958
Practice Address - Street 1:6100 DAY LONG LANE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029
Practice Address - Country:US
Practice Address - Phone:410-531-7100
Practice Address - Fax:410-531-4958
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BASIL SAIEDY DDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-03
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD119741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty