Lamise Kassem DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51269 Issued in CA

Legal business name

LAMISE KASSEM DDS INC

Doing business as

Great expression dental

Practice address

1717 Old Tustin Ave
Santa Ana, CA 92705-7815

Phone

(714) 480-0790

Fax

(714) 480-0794

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Lamise Kassem, DDSNPI 1710381561

Title

Owner/Dentist

Phone

(951) 545-0592

Specialties & licenses 1

Addresses

Other names 1

• Great expression dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lamise Kassem, DDS

  • Dentist
  • Santa Ana, CA
  • NPI 1710381561
  NPD (past) Authorized official

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1427453281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 EAGLE GLEN PKWY # 112-220",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830790",
            "telephone_number": "714-480-0790",
            "fax_number": "714-480-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057815",
            "telephone_number": "714-480-0790",
            "fax_number": "714-480-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMISE KASSEM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "LAMISE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "19515450592",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great expression dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincente Philip Lam, MD
• Viviane My Lam, PHN
• Emily Lambert, ABAT
• Stephanie Lambrecht
• Lamia L. Gabal, MD, Inc.
• Jacob Lampe
• Candice Nichole Lamping, LCSW
• Andrew Lampley, MD
• Carol Louise Lancaster, RN, PHN
• Yadira Landeros de Santiago

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.