Juan C Kassab DMD and Dorothy Kassab DDS PLLC
Organization Active NPI General Practice Dentistry · Canastota, NY
NPI 1801911003 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801911003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0443351 (NY)
- Legal business name
- JUAN C KASSAB DMD AND DOROTHY KASSAB DDS PLLC
- Practice address
- 118 S Main St
Canastota, NY 13032-1234 - Phone
- (315) 697-9287
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Juan C Kassab, DMD
- Title
- Owner Dentist
- Phone
- (315) 697-9287
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 0443351 | NY | Yes |
Addresses
Primary practice location
118 S Main St
Canastota, NY 13032-1234
Mailing address
118 S Main St
Canastota, NY 13032-1234
Phone (315) 697-9287
Other names
- Smile Solutions
Other providers in Canastota, NY
- Patrick Leo Gillette
- Kelly A Gilmore
- Greater Lenox Ambulance Service Inc
- Patrick Earl Howlett
- Kayla Jorden
- Dorothy Kassab
- Juan Carlos Kassab
- Diane C Keba
- Jocelyne A King
- Knox Chiropractic Care PC
All providers in Canastota, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.