Provider Demographics
NPI:1902786254
Name:DEHLEH HOSSEIN ZADEH, SAUM
Entity type:Individual
Prefix:
First Name:SAUM
Middle Name:
Last Name:DEHLEH HOSSEIN ZADEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4317 E MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-4501
Mailing Address - Country:US
Mailing Address - Phone:530-848-5232
Mailing Address - Fax:
Practice Address - Street 1:4317 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4501
Practice Address - Country:US
Practice Address - Phone:530-848-5232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0126221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice