Provider Demographics
NPI:1619698784
Name:SAED, NADA MOHAMMAD (DDS)
Entity Type:Individual
Prefix:
First Name:NADA
Middle Name:MOHAMMAD
Last Name:SAED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 NE ZAC LENTZ PKWY APT 538
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3161
Mailing Address - Country:US
Mailing Address - Phone:806-787-2797
Mailing Address - Fax:
Practice Address - Street 1:1006 N WELLS ST
Practice Address - Street 2:
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957-2151
Practice Address - Country:US
Practice Address - Phone:361-235-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390211223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice