Provider Demographics
NPI:1437995677
Name:SAGHI, SEYED ABOLGHASSEM (DMD)
Entity type:Individual
Prefix:
First Name:SEYED
Middle Name:ABOLGHASSEM
Last Name:SAGHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E APPLE ST STE 328
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2932
Mailing Address - Country:US
Mailing Address - Phone:937-640-3388
Mailing Address - Fax:937-640-3231
Practice Address - Street 1:30 E APPLE ST STE 328
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2932
Practice Address - Country:US
Practice Address - Phone:937-640-3388
Practice Address - Fax:937-640-3231
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.0048471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice