Issa Wissam Daoui, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063965 Issued in NY

Practice address

231 Wade Road Ext Ste 101
Latham, NY 12110-1855

Phone

(518) 782-1900

NPI assigned

Sep 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1922835024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 HUDSON SQ # 2302",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473773",
            "telephone_number": "514-804-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WADE ROAD EXT STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101855",
            "telephone_number": "518-782-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOUI",
        "first_name": "ISSA",
        "middle_name": "WISSAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Scott Dame, LMHC
• Kathryn McTague Dana, PH.D.
• Melissa Dandeneau
• Barbara Dangman
• Heather Elieen Daniels, CCC/SLP
• Jessica Davey, LCSW
• Niccole Davey, FNP-BC
• David F. Cryns, D.O., OB /GYN
• David J. Vallecorsa DDS PLLC
• Barry Davis, LCSW-E

• General Practice Dentistry in Latham, NY
• Providers in Latham, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.