Provider Demographics
NPI:1902264765
Name:SYED A. KHALID, D.D.S., M.S., PLLC
Entity Type:Organization
Organization Name:SYED A. KHALID, D.D.S., M.S., PLLC
Other - Org Name:BAYTOWN PERIODONTICS AND DENTAL IMPLANTOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:281-427-5118
Mailing Address - Street 1:4450 BAYTOWN CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2096
Mailing Address - Country:US
Mailing Address - Phone:281-427-5118
Mailing Address - Fax:
Practice Address - Street 1:4450 BAYTOWN CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2096
Practice Address - Country:US
Practice Address - Phone:281-427-5118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty