Bassam S El-Jamous in Beverly - Periodontics
Bassam S El-Jamous - NPI 1972796662
Bassam S El-Jamous is a Periodontics in Beverly, Massachusetts. Bassam S El-Jamous practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bassam S El-Jamous is 1972796662. The last update date is 2007-08-25.
Bassam S El-Jamous's current location address is 10 Jasper St, Beverly, Massachusetts. You can contact this provider via phone number 6178380952. The mailing address for Bassam S El-Jamous is 10 Jasper St, Beverly, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bassam S El-Jamous |
|---|---|
| Address | 10 Jasper St, Beverly, Massachusetts |
| Phone Number | 6178380952 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD, MSD, |
NPI Number Detail
| NPI Number | 1972796662 |
|---|---|
| Provider Enumeration Date | 2007-08-25 |
| Last Updated Date | 2007-08-25 |
Provider Mailing Address Detail
| Address | 10 Jasper St |
|---|---|
| City | Beverly |
| State | Massachusetts (MA) |
| Post Code | 19154814 |
| Phone Number | 6178380952 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21922 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Bassam S El-Jamous by the Centers for Medicare & Medicaid Services?
The Bassam S El-Jamous has been assigned the NPI (National Provider Identifier) 1972796662 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bassam S El-Jamous?
The Bassam S El-Jamous is situated at 10 Jasper St, in the city of Beverly, state of MA, with the zip code 19154814.
What is Bassam S El-Jamous's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bassam S El-Jamous's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972796662 to Bassam S El-Jamous?
The Centers for Medicare & Medicaid Services originally issued the 1972796662 to Bassam S El-Jamous on 2007-08-25.
When was the Bassam S El-Jamous's information last updated?
The Bassam S El-Jamous's information was last updated on 2007-08-25.
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