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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
104806CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Qussay Al Kaissey DDS, Inc. Current
since Aug 4, 2024
Accepting new patients

Locations

236 Jamacha Rd
Ste 101
El Cajon, CA 92019
Phone (619) 444-3191

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Other providers in El Cajon, CA

All providers in El Cajon, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.