Provider Demographics
NPI:1841342375
Name:GAYED, MAGDI NAGUIB (DMD)
Entity type:Individual
Prefix:MR
First Name:MAGDI
Middle Name:NAGUIB
Last Name:GAYED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8441 WEST LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656
Mailing Address - Country:US
Mailing Address - Phone:773-589-1400
Mailing Address - Fax:773-589-1408
Practice Address - Street 1:8441 WEST LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656
Practice Address - Country:US
Practice Address - Phone:773-589-1400
Practice Address - Fax:773-589-1408
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1915199122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist