Provider Demographics
NPI:1447250782
Name:SAIDMAN, MARK HAROLD (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:HAROLD
Last Name:SAIDMAN
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 1:7499 MIDDLEBELT RD
Mailing Address - Street 2:STE.1
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4136
Mailing Address - Country:US
Mailing Address - Phone:248-626-8600
Mailing Address - Fax:248-626-8602
Practice Address - Street 1:7499 MIDDLEBELT RD
Practice Address - Street 2:STE. 1
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4136
Practice Address - Country:US
Practice Address - Phone:248-626-8600
Practice Address - Fax:248-626-8602
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI087041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice