Provider Demographics
NPI:1912740705
Name:SYED, JASMINE JANET (DMD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:JANET
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 1:149 AYERS RD
Mailing Address - Street 2:
Mailing Address - City:CANTERBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03224-2202
Mailing Address - Country:US
Mailing Address - Phone:603-366-8808
Mailing Address - Fax:
Practice Address - Street 1:160 WASHINGTON ST UNIT 603
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03839-5512
Practice Address - Country:US
Practice Address - Phone:603-330-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NH051291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program