Active NPIIndividual providerSole proprietor

Dr. Clyde H Fasick, DMD

Dentist, General Practice in San Juan, Puerto Rico

NPI Number1851442669
Practice location
29 Washington St, Suite 808 Ashford Medical Center, San Juan, PR 00907
Fax
787-725-4776
Last updated
July 8, 2007

Clyde Henry Fasick is a Dentist, General Practice based in San Juan, PR. Clyde Henry Fasick practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Clyde Henry Fasick is 1851442669 and holds a License No. 1729 (PR). The current practice location address for Clyde Henry Fasick is 29 Washington St, Suite 808 Ashford Medical Center, San Juan, PR 00907 and can be reached out via phone at 787-725-4776 and via fax at 787-725-4776.

Provider Profile Details

NPI Number
1851442669
Provider Name
Clyde Henry Fasick
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
29 Washington St, Suite 808 Ashford Medical Center, San Juan, PR 00907
Phone Number
787-725-4776
Fax Number
787-725-4776
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Washington St
Suite 808 Ashford Medical Center
San Juan, PR 00907
Zip
00907
Phone Number
787-725-4776
Fax Number
787-725-4776
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
Ashford Medical Center
Suite 808 #29 Washington St
San Juan, PR 00907
City
San Juan
State
PR
Zip
00907
Phone Number
787-725-4776
Fax Number
787-725-4776

License Information

License Number
1729
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Clyde H Fasick, DMD?

The NPI number of Dr. Clyde H Fasick, DMD is 1851442669. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Clyde H Fasick, DMD?

Dr. Clyde H Fasick, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1729.

Where does Dr. Clyde H Fasick, DMD practice?

The practice location is 29 Washington St, Suite 808 Ashford Medical Center, San Juan, PR 00907. The office can be reached at 787-725-4776 (phone) or 787-725-4776 (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 1851442669 directly on the NPPES registry website.

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