Provider Demographics
NPI:1689796609
Name:SAIEDY, BASIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BASIL
Middle Name:
Last Name:SAIEDY
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 1:6100 DAY LONG LANE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029
Mailing Address - Country:US
Mailing Address - Phone:410-531-7100
Mailing Address - Fax:410-531-4958
Practice Address - Street 1:6100 DAY LONG LANE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029
Practice Address - Country:US
Practice Address - Phone:410-531-7100
Practice Address - Fax:410-531-4958
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist