Provider Demographics
NPI:1598010225
Name:SAJADI, ALI SAAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:SAAM
Last Name:SAJADI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 N ELDRIDGE PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-3516
Mailing Address - Country:US
Mailing Address - Phone:713-983-0099
Mailing Address - Fax:713-983-0071
Practice Address - Street 1:6370 N ELDRIDGE PKWY
Practice Address - Street 2:STE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-3516
Practice Address - Country:US
Practice Address - Phone:713-983-0099
Practice Address - Fax:713-983-0071
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28219122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist