Provider Demographics
NPI:1952690760
Name:SAIED SHAYES DMD PD
Entity Type:Organization
Organization Name:SAIED SHAYES DMD PD
Other - Org Name:A BRITER SMILE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-888-9991
Mailing Address - Street 1:20729 CENTER OAK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3551
Mailing Address - Country:US
Mailing Address - Phone:813-888-9991
Mailing Address - Fax:866-427-0545
Practice Address - Street 1:20729 CENTER OAK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3551
Practice Address - Country:US
Practice Address - Phone:813-888-9991
Practice Address - Fax:866-427-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15492261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental