Provider Demographics
NPI:1346405883
Name:KHALID, SYED (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:
Last Name:KHALID
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11451 KATY FWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2004
Mailing Address - Country:US
Mailing Address - Phone:713-465-8239
Mailing Address - Fax:713-465-5942
Practice Address - Street 1:11451 KATY FWY
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2004
Practice Address - Country:US
Practice Address - Phone:713-465-8239
Practice Address - Fax:713-465-5942
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010197961223G0001X, 1223P0300X
TX267021223P0300X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice