Mr. Jamal A Kussad, DDS
Dentist, General Practice in Lyndonville, Vermont
1073689204- Practice location
- 282 Pinehurst St, Lyndonville, VT 05851
- Phone
- 802-427-3323
- Fax
- 802-427-3332
- Last updated
- June 6, 2022
Jamal Alexander Kussad is a Dentist, General Practice based in Lyndonville, VT. Jamal Alexander Kussad practices in Lyndonville, VT and has the professional credentials of DDS. The NPI Number for Jamal Alexander Kussad is 1073689204 and holds a License No. 21855 (TX). The current practice location address for Jamal Alexander Kussad is 282 Pinehurst St, Lyndonville, VT 05851 and can be reached out via phone at 802-427-3323 and via fax at 802-427-3332.
Provider Profile Details
- NPI Number
- 1073689204
- Provider Name
- Jamal Alexander Kussad
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 282 Pinehurst St, Lyndonville, VT 05851
- Phone Number
- 802-427-3323
- Fax Number
- 802-427-3332
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- June 6, 2022
- Certification Date
- May 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 282 Pinehurst St
Lyndonville, VT 05851 - City
- Lyndonville
- State
- Vermont
- Zip
- 05851
- Phone Number
- 802-427-3323
- Fax Number
- 802-427-3332
Provider Business Mailing Address Details
- Address
- Po Box 85
Lyndonville, VT 05851-0085 - City
- Lyndonville
- State
- VT
- Zip
- 05851-0085
- Phone Number
- 802-427-3323
- Fax Number
- 802-427-3332
License Information
- License Number (1)
- 21855
- License State (1)
- TX
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 016.0133972
- License State (2)
- VT
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jamal A Kussad, DDS?
The NPI number of Mr. Jamal A Kussad, DDS is 1073689204. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Jamal A Kussad, DDS?
Mr. Jamal A Kussad, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 21855.
Where does Mr. Jamal A Kussad, DDS practice?
The practice location is 282 Pinehurst St, Lyndonville, VT 05851. The office can be reached at 802-427-3323 (phone) or 802-427-3332 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073689204 directly on the NPPES registry website.