Jon William Cassell in San Diego - General Practice

Jon William Cassell - NPI 1336329135

Jon William Cassell is a General Practice in San Diego, California. Jon William Cassell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jon William Cassell is 1336329135. The last update date is 2009-12-17.

Jon William Cassell's current location address is 591 Camino De La Reina, San Diego, California. You can contact this provider via phone number 6192207475 and fax number 6192207484. The mailing address for Jon William Cassell is 591 Camino De La Reina, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon William Cassell
Address 591 Camino De La Reina, San Diego, California
Phone Number 6192207475
Fax Number 6192207484
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1336329135
Provider Enumeration Date 2007-11-08
Last Updated Date 2009-12-17

Provider Mailing Address Detail

Address 591 Camino De La Reina
City San Diego
State California (CA)
Post Code 921083102
Phone Number 6192207475
Fax Number 6192207484

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DPO33913
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33913 CA DENTAL BOARD

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FAQs about Jon William Cassell

What is the unique provider identifier assigned to Jon William Cassell?

The Jon William Cassell has been issued the NPI (National Provider Identifier) 1336329135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jon William Cassell?

The Jon William Cassell is situated at 591 Camino De La Reina, in the city of San Diego, state of CA, with the zip code 921083102.

What is Jon William Cassell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jon William Cassell's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1336329135 to Jon William Cassell?

The Centers for Medicare & Medicaid Services assigned the 1336329135 to Jon William Cassell on 2007-11-08.

When was the information pertaining to Jon William Cassell most recently updated or revised?

The details related to Jon William Cassell, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-17.

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