Provider Demographics
NPI:1598174757
Name:SYED, AISHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:AISHA
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5461
Mailing Address - Country:US
Mailing Address - Phone:301-777-7700
Mailing Address - Fax:301-777-7710
Practice Address - Street 1:115 MARKET ST
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-5461
Practice Address - Country:US
Practice Address - Phone:301-777-7700
Practice Address - Fax:301-777-7710
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159911223G0001X
FL210181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice