Dr Gregg Louis Kassan, DDS is a
Dentist - General Practice based in Montclair, Virginia. Dr Gregg Louis Kassan is licensed to practice in Virginia (license number 0401-007927) and his current practice location is
5077 Waterway Dr, Montclair, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 897-0463.
NPI number for Dr Gregg Louis Kassan is 1861665903 and his current mailing address is 5077 Waterway Dr, Montclair, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861665903.
Healthcare Provider's Profile
Full Name | Dr Gregg Louis Kassan |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5077 Waterway Dr, Montclair, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861665903
- Provider Enumeration Date: 04/09/2008
- Last Update Date: 04/09/2008
Medical Identifiers
Medical identifiers for Dr Gregg Louis Kassan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861665903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 0401-007927 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregg Louis Kassan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gregg Louis Kassan, DDS 5077 Waterway Dr, Montclair, VA 22025-1259 Ph: (703) 897-0463 | Dr Gregg Louis Kassan, DDS 5077 Waterway Dr, Montclair, VA 22025-1259 Ph: (703) 897-0463 |
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