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Dr. Gerald H Kassoy, DDS,MS
Pediatric Dentist in Reynoldsburg, Ohio
NPI 1073564142

Gerald H Kassoy is a Pediatric Dentist based in Bexley, OH and is specialized in Pediatric Dentistry. Gerald H Kassoy practices in Reynoldsburg, OH and has the professional credentials of DDS,MS. The NPI Number for Gerald H Kassoy is 1073564142 and holds a License No. 14900 (Ohio).

The current practice location address for Gerald H Kassoy is 1418 Brice Rd, Reynoldsburg, OH and can be reached out via phone at 614-575-2225 and via fax at 614-575-2252.

Location: 1418 Brice Rd, Reynoldsburg, OH, 43209-1831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073564142
Provider Name
Gerald H Kassoy
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1418 Brice Rd, Reynoldsburg, OH, 43209-1831
Phone Number
614-575-2225
Fax Number
614-575-2252
Provider Enumeration Date
05/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0398627 05 OH
310961704-026 01 OH CARESOURCE
institution
Provider Business Practice Location Address Details
Address
1418 Brice Rd
City
Reynoldsburg
State
Ohio
Zip
43068-2397
Phone Number
614-575-2225
Fax Number
614-575-2252
person
Provider Business Mailing Address Details
Address
1418 Brice Rd
City
Reynoldsburg
State
Ohio
Zip
43068-2397
Phone Number
614-575-2225
Fax Number
614-575-2252
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
14900 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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