Provider Demographics
NPI:1770030538
Name:SARMAD PAYDAR DDS MS CORP
Entity Type:Organization
Organization Name:SARMAD PAYDAR DDS MS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:916-834-6837
Mailing Address - Street 1:1017 L ST # 684
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-3805
Mailing Address - Country:US
Mailing Address - Phone:916-834-6837
Mailing Address - Fax:
Practice Address - Street 1:1017 L ST # 684
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-3805
Practice Address - Country:US
Practice Address - Phone:916-834-6837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA637791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty