Qussay Al Kaissey, DDS
Individual provider Active NPI Dentist · El Cajon, CA
NPI 1699308585 · NPPES record last updated Aug 3, 2024
Key facts
- NPI
- 1699308585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 104806 (CA)
- Practice address
- 236 Jamacha Rd Ste 101
El Cajon, CA 92019-2366 - Phone
- (619) 448-7444
- Fax
- (619) 448-7444
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104806 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Qussay Al Kaissey DDS, Inc. | Current |
Accepting new patients |
Locations
236 Jamacha Rd
Ste 101
El Cajon, CA 92019
Phone (619) 444-3191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104806 | CA | Yes |
Addresses
Primary practice location
236 Jamacha Rd Ste 101
El Cajon, CA 92019-2366
Mailing address
236 Jamacha Rd Ste 101
El Cajon, CA 92019-2366
Phone (619) 448-7444
Other names
- Dr. Qussay Al Kaissey
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.