Comlan Marcel Missih, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

011324 Issued in CT

Practice address

770 James Street, Suite 214
Syracuse, NY 13203

Phone

(315) 475-1533

Fax

(315) 475-1548

NPI assigned

Feb 4, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Comlan Missihoun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missih Dental Care & Periodontics LLC

  • Dental Clinic/Center
  • Johnson City, NY
  • NPI 1700442746
  NPD Authorized official
• DRS V and T Carsten DDS PC

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1881956019
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1396135810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JAMES STREET, SUITE 214",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-475-1533",
            "fax_number": "315-475-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JAMES STREET, SUITE 214",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-475-1533",
            "fax_number": "315-475-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIH",
        "first_name": "COMLAN",
        "middle_name": "MARCEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "011324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COMLAN",
            "last_name": "MISSIHOUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mario J Mirra
• Shon Mirza, MD
• Catherine Misiaszek, LMHC, NCC
• Puneet Misra, MD
• Sarah Mary Missen, MS, ATC
• Erika Mitchell-Halvorsen, LCSW
• Angelik Marie Mitchell, LPN
• Briana Mitchell, RN
• David A Mitchell Jr.
• Deanthony Mitchell

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.