Provider Demographics
NPI:1477572444
Name:SAIED SHAYES DMD,PA
Entity Type:Organization
Organization Name:SAIED SHAYES DMD,PA
Other - Org Name:FAMILY DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-888-9991
Mailing Address - Street 1:7715 W HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4715
Mailing Address - Country:US
Mailing Address - Phone:813-888-9991
Mailing Address - Fax:813-888-9983
Practice Address - Street 1:7715 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4715
Practice Address - Country:US
Practice Address - Phone:813-888-9991
Practice Address - Fax:813-888-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty