Provider Demographics
NPI:1578832986
Name:SAEID BADIE
Entity Type:Organization
Organization Name:SAEID BADIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:BADIE
Authorized Official - Last Name:BADIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-325-3022
Mailing Address - Street 1:1575 N SWAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4071
Mailing Address - Country:US
Mailing Address - Phone:520-325-3022
Mailing Address - Fax:
Practice Address - Street 1:1575 N SWAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4071
Practice Address - Country:US
Practice Address - Phone:520-325-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty