Kappa Dental Group

LBN: Ghassan Khoury Dmd Pc
Kappa Dental Group is an health care organization with primary practice located at 402 Washington St , Somerville MA 02143-3823. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. Ghassan Khoury Dmd Pc can be contacted via phone (617) 666-4444, or through Khoury, Ghassan A via phone (617) 666-4444.

Contact Information

Primary practice address
402 Washington St Somerville MA 02143-3823
Fax: (617) 666-1113
Website:
Authorized official contact:
Name: Khoury, Ghassan A Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20411 Massachusetts
Dental Providers / Dentist 122300000X 20622 Massachusetts
Dental Providers / Dentist 122300000X 20871 Massachusetts
Dental Providers / Endodontics 1223E0200X 20377 Massachusetts
Dental Providers / Periodontics 1223P0300X 21922 Massachusetts

Profile Details

NPI number 1861654691
LBN Legal business name Ghassan Khoury Dmd Pc
DBA Doing business as Kappa Dental Group
Authorized official Khoury, Ghassan A Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861654691 NPPES
Massachusetts Other X11554 BLUE CROSS BLUE SHIELD

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