Provider Demographics
NPI:1700191376
Name:HAYDER, BESSMA (DDS)
Entity Type:Individual
Prefix:
First Name:BESSMA
Middle Name:
Last Name:HAYDER
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 1:4137 CORALEE LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3356
Mailing Address - Country:US
Mailing Address - Phone:925-363-4200
Mailing Address - Fax:925-363-4244
Practice Address - Street 1:401 GREGORY LN
Practice Address - Street 2:SUITE 236
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2800
Practice Address - Country:US
Practice Address - Phone:925-363-4200
Practice Address - Fax:925-363-4244
Is Sole Proprietor?:No
Enumeration Date:2010-08-08
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59553122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist