Provider Demographics
NPI:1871779686
Name:F. JOHN SAYYAH, MD, DDS, PLLC
Entity type:Organization
Organization Name:F. JOHN SAYYAH, MD, DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FARDAD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SAYYAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:425-556-9795
Mailing Address - Street 1:16701 NE 80TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3937
Mailing Address - Country:US
Mailing Address - Phone:425-556-9795
Mailing Address - Fax:
Practice Address - Street 1:16701 NE 80TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3937
Practice Address - Country:US
Practice Address - Phone:425-556-9795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE10200261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental