Dorothy Kassab, D.D.S.
Individual provider Active NPI General Practice Dentistry · Canastota, NY
NPI 1245253137 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1245253137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 049074 (NY)
- Practice address
- 118 S Main St
Canastota, NY 13032-1234 - Phone
- (315) 697-9287
- Fax
- (315) 697-4038
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 10, 2023 through Jul 10, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049074 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 049074 | NY | Yes |
Addresses
Primary practice location
118 S Main St
Canastota, NY 13032-1234
Mailing address
118 S Main St
Canastota, NY 13032-1234
Phone (315) 697-9287
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@smilesolutionsofcny.com | Direct |
Other providers in Canastota, NY
- Kelly A Gilmore
- Greater Lenox Ambulance Service Inc
- Patrick Earl Howlett
- Kayla Jorden
- Juan C Kassab DMD and Dorothy Kassab DDS PLLC
- Juan Carlos Kassab
- Diane C Keba
- Jocelyne A King
- Knox Chiropractic Care PC
- Nanci Lynne Knox
All providers in Canastota, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.