Bruce L Cassis is a Dentist in Fayetteville, . Bruce L Cassis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce L Cassis is 1679664510. The last update date is 2022-12-07.
Bruce L Cassis's current location address is 138 Lively St, Fayetteville, . You can contact this provider via phone number 3045740424 and fax number 3045742102. The mailing address for Bruce L Cassis is 138 Lively St, Fayetteville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce L Cassis |
|---|---|
| Address | 138 Lively St, Fayetteville, |
| Phone Number | 3045740424 |
| Fax Number | 3045742102 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1679664510 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2022-12-07 |
Provider Mailing Address Detail
| Address | 138 Lively St |
|---|---|
| City | Fayetteville |
| State | (WV) |
| Post Code | 258401148 |
| Phone Number | 3045740424 |
| Fax Number | 3045742102 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2530 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136422000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bruce L Cassis by the Centers for Medicare & Medicaid Services?
The Bruce L Cassis has been issued the NPI (National Provider Identifier) 1679664510, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bruce L Cassis?
The Bruce L Cassis is situated at 138 Lively St, in the city of Fayetteville, state of WV, with the zip code 258401148.
What is Bruce L Cassis's area of expertise and its corresponding taxonomy classification?
The Bruce L Cassis's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Bruce L Cassis receive its 1679664510?
The Bruce L Cassis was issued its 1679664510 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Bruce L Cassis last refreshed?
The information related to the Bruce L Cassis, including its address, specialty, and other relevant details, was last updated on 2022-12-07.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA