Provider Demographics
NPI:1790055374
Name:ALAYAD, ABDULLAH SAEED (BDS)
Entity Type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:SAEED
Last Name:ALAYAD
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 MYSTIC VALLEY PARKWAY
Mailing Address - Street 2:APT#1009
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3920 MYSTIC VALLEY PKWY
Practice Address - Street 2:APT#1009
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-6912
Practice Address - Country:US
Practice Address - Phone:857-364-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11474122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist