Provider Demographics
NPI:1801068895
Name:SAYEGH, RAYMOND G (DDS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:G
Last Name:SAYEGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:48111
Mailing Address - Country:US
Mailing Address - Phone:734-699-4221
Mailing Address - Fax:734-699-3900
Practice Address - Street 1:256 THIRD STREET
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:RI
Practice Address - Zip Code:48111
Practice Address - Country:US
Practice Address - Phone:734-699-4221
Practice Address - Fax:734-699-3900
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10759122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist