CASSIS DENTAL CENTER, PLLC (NPI# 1619339207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619339207 |
| Entity Type | Organization |
| Organization Name | CASSIS DENTAL CENTER, PLLC |
| Practice Address |
138 Lively St Fayetteville WV 25840-1148 |
| Mailing Address |
138 Lively St Po Box 926 Fayetteville WV 25840-1148 |
| Practice Telephone | 3045740424 |
| Practice Fax Number | 3045742102 |
| Mailing Telephone | 3045740424 |
| Mailing Fax Number | 3045742102 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | DR. BRUCE L CASSIS (DDS) |
| Authorized Official Telephone | 3045740424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | WV2530 | WV | Dental Providers |
| Street Address |
138 LIVELY ST |
| City | FAYETTEVILLE |
| State | WV |
| Zip Code | 25840-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679664510 | Bruce L Cassis | Dentist | 138 Lively St, Fayetteville, WV 25840-1148 | 2006-09-27 |
| 1386964948 | Daniel Joseph Cassis | Dentist | 138 Lively St, Fayetteville, WV 25840-1148 | 2010-06-07 |
| 1275718710 | Bruce L. Cassis | Dentist | 138 Lively St, Fayetteville, WV 25840-1148 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
| 1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
| 1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| 1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
| 1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
| 1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
| Find all providers in zip 25840 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1225529605 | Alterman & Dhillon Eastern Nc, Pplc | Dentist | 4251 Ramsey St Ste 8&9, Fayetteville, NC 28311-2130 | 2018-05-22 |
| 1093217184 | Brandon Murray | Dentist | 2935 Breezewood Ave Ste 200, Fayetteville, NC 28303-5498 | 2018-03-05 |
| 1831641877 | Ryan Bradley | Dentist | 3500 Black Forest Dr Ste 1, Fayetteville, AR 72704-6551 | 2016-10-25 |
| 1750834255 | Sharitha Anderson | Dentist | 117 Pavilion Pkwy Ste 15c, Fayetteville, GA 30214-7732 | 2016-08-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| 1972973766 | Beautiful Smiles of Fayetteville | Dentist | 719 Lanier Ave W Ste A1, Fayetteville, GA 30214-7634 | 2015-10-06 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1053795336 | Knowles, Smith & Associates, LLP | Dentist | 2028 Litho Pl Ste 300, Fayetteville, NC 28304-2538 | 2015-07-16 |
| 1952784159 | Christina Walls | Dentist | 637 E Joyce Blvd, #120, Fayetteville, AR 72703-6189 | 2015-07-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.