Gregg Louis Kassan in Montclair - General Practice
Gregg Louis Kassan - NPI 1861665903
Gregg Louis Kassan is a General Practice in Montclair, Virginia. Gregg Louis Kassan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregg Louis Kassan is 1861665903. The last update date is 2008-04-09.
Gregg Louis Kassan's current location address is 5077 Waterway Dr, Montclair, Virginia. You can contact this provider via phone number 7038970463 and fax number 7038971155. The mailing address for Gregg Louis Kassan is 5077 Waterway Dr, Montclair, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Louis Kassan |
|---|---|
| Address | 5077 Waterway Dr, Montclair, Virginia |
| Phone Number | 7038970463 |
| Fax Number | 7038971155 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1861665903 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 5077 Waterway Dr |
|---|---|
| City | Montclair |
| State | Virginia (VA) |
| Post Code | 220251259 |
| Phone Number | 7038970463 |
| Fax Number | 7038971155 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 0401-007927 |
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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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What is the unique identifier code issued to Gregg Louis Kassan by the Centers for Medicare & Medicaid Services?
The Gregg Louis Kassan has been assigned the NPI (National Provider Identifier) 1861665903. 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 share the complete physical location address where Gregg Louis Kassan's facilities are situated?
The facilities of Gregg Louis Kassan are physically located at the following address: 5077 Waterway Dr, Montclair, VA, 220251259.
What is Gregg Louis Kassan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregg Louis Kassan is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Gregg Louis Kassan receive its 1861665903 assignment from the Centers for Medicare & Medicaid Services?
The Gregg Louis Kassan was assigned its 1861665903 on 2008-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gregg Louis Kassan most recently updated or revised?
The information pertaining to Gregg Louis Kassan, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-09.