Dr Bruce L Cassis, DDS | |
138 Lively St, Fayetteville, WV 25840-1148 | |
(304) 574-0424 | |
(304) 574-2102 |
Full Name | Dr Bruce L Cassis |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 138 Lively St, Fayetteville, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679664510 | NPI | - | NPPES |
0136422000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2530 (West Virginia) | Primary |
Entity Name | Cassis Dental Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619339207 PECOS PAC ID: 3678867637 Enrollment ID: O20200303001979 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce L Cassis, DDS 138 Lively St, Fayetteville, WV 25840-1148 Ph: (304) 574-0424 | Dr Bruce L Cassis, DDS 138 Lively St, Fayetteville, WV 25840-1148 Ph: (304) 574-0424 |
Dr. Daniel Joseph Cassis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 138 Lively St, Fayetteville, WV 25840 Phone: 304-574-0424 Fax: 304-574-2102 | |
Dr. Patrick D. Jarrell, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 213 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2833 Fax: 304-574-2489 | |
Dr. Margaret J Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 138 Lively St, Fayetteville, WV 25840 Phone: 304-574-0424 Fax: 304-574-2102 | |
David Lee Meadows, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 138 Lively St, Fayetteville, WV 25840 Phone: 304-574-0424 Fax: 304-574-2102 | |
Carl Arthur Hansen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 North Court St, Fayetteville, WV 25840 Phone: 304-574-1363 Fax: 304-574-1363 |