Provider Demographics
NPI:1801413695
Name:YOUSSIF, SAAD (DDS)
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:YOUSSIF
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 1:101 N FM 548 STE 105
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-5686
Mailing Address - Country:US
Mailing Address - Phone:972-552-1224
Mailing Address - Fax:
Practice Address - Street 1:101 N FARM TO MARKET 548
Practice Address - Street 2:STE 105
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:972-552-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37094122300000X
MND14373122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist