Anastassios Koussis is a Dentist in Media, Pennsylvania. Anastassios Koussis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anastassios Koussis is 1629199484. The last update date is 2007-07-08.
Anastassios Koussis's current location address is 1245 N Providence Rd, Media, Pennsylvania. You can contact this provider via phone number 6105655077. The mailing address for Anastassios Koussis is 1245 N Providence Rd, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Anastassios Koussis |
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Address | 1245 N Providence Rd, Media, Pennsylvania |
Phone Number | 6105655077 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1629199484 |
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Provider Enumeration Date | 2007-04-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1245 N Providence Rd |
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City | Media |
State | Pennsylvania (PA) |
Post Code | 190631210 |
Phone Number | 6105655077 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DS014874L |
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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What is the unique identifier code issued to Anastassios Koussis by the Centers for Medicare & Medicaid Services?
The Anastassios Koussis has been assigned the NPI (National Provider Identifier) 1629199484. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anastassios Koussis is physically located?
The Anastassios Koussis is physically situated at the following address: 1245 N Providence Rd, Media, PA, 190631210.
What is the Anastassios Koussis's specialty and taxonomy code?
The Anastassios Koussis's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629199484 to Anastassios Koussis?
The Anastassios Koussis received its 1629199484 assignment from the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date were the details related to Anastassios Koussis most recently updated or revised?
The information pertaining to Anastassios Koussis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.