James M Vlassis in Fayetteville - Periodontics
James M Vlassis - NPI 1417094392
James M Vlassis is a Periodontics in Fayetteville, New York. James M Vlassis practices all healthcare services and medical treatments related to Periodontics. The NPI Number for James M Vlassis is 1417094392. The last update date is 2014-07-29.
James M Vlassis's current location address is 100 N Burdick St, Fayetteville, New York. You can contact this provider via phone number 3156370777 and fax number 3156372337. The mailing address for James M Vlassis is 100 N Burdick St, Fayetteville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James M Vlassis |
|---|---|
| Address | 100 N Burdick St, Fayetteville, New York |
| Phone Number | 3156370777 |
| Fax Number | 3156372337 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417094392 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 100 N Burdick St |
|---|---|
| City | Fayetteville |
| State | New York (NY) |
| Post Code | 130661319 |
| Phone Number | 3156370777 |
| Fax Number | 3156372337 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 042985-1 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to James M Vlassis?
The James M Vlassis has been issued the NPI (National Provider Identifier) 1417094392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James M Vlassis's facilities are geographically located?
The facilities of James M Vlassis are physically situated at the following location: 100 N Burdick St, Fayetteville, NY, 130661319.
What is the James M Vlassis's specialty and taxonomy code?
The James M Vlassis's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the James M Vlassis receive the assignment of its 1417094392 from the Centers for Medicare & Medicaid Services?
The James M Vlassis was issued its 1417094392 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information regarding James M Vlassis most recently updated?
The details pertaining to the James M Vlassis, including its address, specialty, and other relevant information, were last refreshed on 2014-07-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY