Provider Demographics
NPI:1487910782
Name:SYED, SAIMA IJAZ (DMD)
Entity type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:IJAZ
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 1:203 SOUTH HAMPTON TERRACE
Mailing Address - Street 2:203
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020
Mailing Address - Country:US
Mailing Address - Phone:212-213-4050
Mailing Address - Fax:
Practice Address - Street 1:500 S RIVER ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6651
Practice Address - Country:US
Practice Address - Phone:201-641-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0569501223G0001X
NJ22D1024905001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice