Provider Demographics
NPI:1700315603
Name:MAYO, SAIDAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAIDAH
Middle Name:
Last Name:MAYO
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 1:5005 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4319
Mailing Address - Country:US
Mailing Address - Phone:402-598-5133
Mailing Address - Fax:
Practice Address - Street 1:2005 N 90TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-6002
Practice Address - Country:US
Practice Address - Phone:402-551-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist