Andrew James Cassidy in Rolla - General Practice

Andrew James Cassidy - NPI 1639242654

Andrew James Cassidy is a General Practice in Rolla, Missouri. Andrew James Cassidy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andrew James Cassidy is 1639242654. The last update date is 2007-07-08.

Andrew James Cassidy's current location address is 12655 Ginger Ln, Rolla, Missouri. You can contact this provider via phone number 5733645684. The mailing address for Andrew James Cassidy is 12655 Ginger Ln, Rolla, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew James Cassidy
Address 12655 Ginger Ln, Rolla, Missouri
Phone Number 5733645684
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1639242654
Provider Enumeration Date 2006-11-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12655 Ginger Ln
City Rolla
State Missouri (MO)
Post Code 654016747
Phone Number 5733645684
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 15886
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.

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FAQs about Andrew James Cassidy

What is the Andrew James Cassidy's unique identification number?

The Andrew James Cassidy has been assigned the NPI (National Provider Identifier) Number 1639242654 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Andrew James Cassidy?

The Andrew James Cassidy is situated at 12655 Ginger Ln, in the city of Rolla, state of MO, with the zip code 654016747.

What is the area of specialization for Andrew James Cassidy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Andrew James Cassidy is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639242654 to Andrew James Cassidy?

The Centers for Medicare & Medicaid Services originally issued the 1639242654 to Andrew James Cassidy on 2006-11-16.

When was the Andrew James Cassidy's information last updated?

The Andrew James Cassidy's information was last updated on 2007-07-08.

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