Provider Demographics
NPI:1124733522
Name:SYED, NAZIA HUSSAINY (DMD)
Entity type:Individual
Prefix:
First Name:NAZIA HUSSAINY
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ROYAL CREST DR APT 7
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-6617
Mailing Address - Country:US
Mailing Address - Phone:801-541-2352
Mailing Address - Fax:
Practice Address - Street 1:861 HANOVER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-5419
Practice Address - Country:US
Practice Address - Phone:603-232-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04806122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist