Provider Demographics
NPI:1669217501
Name:SAADI, SARMAD A
Entity type:Individual
Prefix:
First Name:SARMAD
Middle Name:A
Last Name:SAADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SARMAD
Other - Middle Name:S
Other - Last Name:HUSSEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 PARMENTER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2674
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 PARMENTER ST STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2674
Practice Address - Country:US
Practice Address - Phone:608-836-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001585-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist