NPIMap

Organization Active NPI

Wassif Family and Cosmetic Dentistry, DDS, PA

  • General Practice Dentistry
  • Middle River, MD
National Provider Identifier
1689098006
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12595 Issued in MD
Legal business name
WASSIF FAMILY AND COSMETIC DENTISTRY, DDS, PA
Practice address
903 Fuselage Ave
Middle River, MD 21220-4512
Phone
(410) 687-1162
Fax
(410) 687-2140
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Cindy B Wassif, DDSNPI 1508075375
Title
President
Phone
(410) 687-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12595 MD Primary

Addresses

Primary practice location

903 Fuselage Ave
Middle River, MD 21220-4512

Mailing address

903 Fuselage Ave
Middle River, MD 21220-4512
Phone (410) 687-1162

National Provider Directory

National Provider Directory

Locations

903 Fuselage Ave
Middle River, MD 21220
Phone (410) 687-1162

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1689098006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FUSELAGE AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204512",
            "telephone_number": "410-687-1162",
            "fax_number": "410-687-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FUSELAGE AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204512",
            "telephone_number": "410-687-1162",
            "fax_number": "410-687-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASSIF FAMILY AND COSMETIC DENTISTRY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "WASSIF",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-687-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.