Provider Demographics
NPI:1588753552
Name:SAYED, SHAFEY M (DDS)
Entity type:Individual
Prefix:
First Name:SHAFEY
Middle Name:M
Last Name:SAYED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8382 ELTA DRIVE
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-8685
Mailing Address - Country:US
Mailing Address - Phone:315-699-3305
Mailing Address - Fax:
Practice Address - Street 1:8382 ELTA DRIVE
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-8685
Practice Address - Country:US
Practice Address - Phone:315-699-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY442941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice