Provider Demographics
NPI:1952084816
Name:SYED, REDA (DDS)
Entity type:Individual
Prefix:
First Name:REDA
Middle Name:
Last Name:SYED
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 1:15107 NEWPORT BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1491
Mailing Address - Country:US
Mailing Address - Phone:832-454-4330
Mailing Address - Fax:
Practice Address - Street 1:3415 FM 762 RD STE 150
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5581
Practice Address - Country:US
Practice Address - Phone:832-432-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX398431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice