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
Phone: (617) 666-4444
Fax: (617) 666-1113
Website:
Authorized official contact:
Name: Khoury, Ghassan A Doctor of Dental Medicine (DMD)
Phone: (617) 666-4444
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861654691 | NPPES |
| Massachusetts | Other | X11554 | BLUE CROSS BLUE SHIELD |
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