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DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS NPI 1184005241


NPI Information

NPI: 1184005241
Provider Name: DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
305 W 12TH AVE
POSTLE HALL ROOM 4015
COLUMBUS, OH
ZIP 43210
Phone: (614) 292-1472
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DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS is a periodontics dentist in Columbus, OH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS NPI is 1184005241. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 W 12TH AVE
POSTLE HALL ROOM 4015
COLUMBUS, OH
ZIP 43210-267
Phone: (614) 292-1472
Fax: (614) 688-3553

The provider's authorized official is Linda M Myers .
The authorized official title is Director and has the following contact phone number (614) 292-1472.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics71.000244OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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