| 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 |
|---|---|
| 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: Medicare Enrolled 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 |