DR. GREGG LOUIS KASSAN (NPI# 1861665903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861665903 |
| Entity Type | Individual |
| Full Name | DR. GREGG LOUIS KASSAN |
| Credential | D.D.S. |
| Practice Address |
5077 Waterway Dr Montclair VA 22025-1259 |
| Practice Telephone | 7038970463 |
| Practice Fax Number | 7038971155 |
| Mailing Telephone | 7038970463 |
| Mailing Fax Number | 7038971155 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401-007927 | VA | Dental Providers |
| Street Address |
5077 WATERWAY DR |
| City | MONTCLAIR |
| State | VA |
| Zip Code | 22025-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
| 1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
| 1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
| 1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
| 1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
| 1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
| 1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
| 1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
| 1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
| Find all providers in zip 22025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1770147670 | Langroodi Dental Professional Corporation | Dentist | 5461 Holt Blvd, Montclair, CA 91763-4500 | 2019-04-25 |
| 1265999072 | Pomona Community Health Center | Dentist | 4900 Orchard St, Montclair, CA 91763-3228 | 2019-02-28 |
| 1801353628 | Pomona Community Health Center | Dentist | 5625 Kingsley St, Montclair, CA 91763-3948 | 2019-02-28 |
| 1508323379 | Pomona Community Health Center | Dentist | 4650 Howard St, Montclair, CA 91763-6414 | 2019-02-27 |
| 1609364108 | D'amore Russo Dental Design Studio Dr Dds | Dentist | 100 Grove St Ste 3, Montclair, NJ 07042-4006 | 2018-04-30 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1972955524 | Susan Han-lu Chu | Dentist | 4439 Mission Blvd Ste E, Montclair, CA 91763-6067 | 2016-07-07 |
| 1205248812 | Quratulanne Muneer | Dentist | 9359 Central Ave, Suite D1, Montclair, CA 91763-2452 | 2014-05-30 |
| 1962794107 | Cadalso Dental Corporation | Dentist | 4380 Holt Blvd Ste E, Montclair, CA 91763-5407 | 2011-05-05 |
| Find all providers in MONTCLAIR | ||||
Please comment or provide details below to improve the information on DR. GREGG LOUIS KASSAN.
| 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.