Active NPIIndividual providerSole proprietor

Dr. Michael Kasselian, DDS

Dentist, Pediatric Dentistry in Fort Lee, New Jersey

NPI Number1124113576
Practice location
2500 Lemoine Avenue, Fort Lee, NJ 07024
Fax
201-947-9275
Last updated
July 8, 2007

Michael Kasselian is a Dentist, Pediatric Dentistry based in Fort Lee, NJ. Michael Kasselian practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Michael Kasselian is 1124113576 and holds a License No. DI0 19376 (NJ). The current practice location address for Michael Kasselian is 2500 Lemoine Avenue, Fort Lee, NJ 07024 and can be reached out via phone at 201-947-5437 and via fax at 201-947-9275.

Provider Profile Details

NPI Number
1124113576
Provider Name
Michael Kasselian
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2500 Lemoine Avenue, Fort Lee, NJ 07024
Phone Number
201-947-5437
Fax Number
201-947-9275
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 Lemoine Avenue
Fort Lee, NJ 07024
Zip
07024
Phone Number
201-947-5437
Fax Number
201-947-9275
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2500 Lemoine Avenue
Fort Lee, NJ 07024
City
Fort Lee
State
NJ
Zip
07024
Phone Number
201-947-5437
Fax Number
201-947-9275

License Information

License Number
DI0 19376
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Michael Kasselian, DDS?

The NPI number of Dr. Michael Kasselian, DDS is 1124113576. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Kasselian, DDS?

Dr. Michael Kasselian, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number DI0 19376.

Where does Dr. Michael Kasselian, DDS practice?

The practice location is 2500 Lemoine Avenue, Fort Lee, NJ 07024. The office can be reached at 201-947-5437 (phone) or 201-947-9275 (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 1124113576 directly on the NPPES registry website.

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