Provider Demographics
NPI:1790668135
Name:PAUL A GAYED DMD PC
Entity type:Organization
Organization Name:PAUL A GAYED DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYED
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-772-1511
Mailing Address - Street 1:2551 N CLARK ST STE 500
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7721
Mailing Address - Country:US
Mailing Address - Phone:773-549-2881
Mailing Address - Fax:773-549-2817
Practice Address - Street 1:2551 N CLARK ST STE 500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7721
Practice Address - Country:US
Practice Address - Phone:773-549-2881
Practice Address - Fax:773-549-2817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty