Provider Demographics
NPI:1518338037
Name:BAQAI, SAJID
Entity Type:Individual
Prefix:
First Name:SAJID
Middle Name:
Last Name:BAQAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18077 GARLAND GROH BOULEVARD
Mailing Address - Street 2:ACADIA DENTAL & DENTURES
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-797-2538
Mailing Address - Fax:301-797-6760
Practice Address - Street 1:3670 WOODWARD AVE STE 101B
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2456
Practice Address - Country:US
Practice Address - Phone:313-355-1665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD87259122300000X
MI2901601094122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist