Kassube, Thomas L.

Kassube, Thomas L. is an sole proprietor health care provider with primary practice located at 3805 S Kiwanis Cir , Sioux Falls SD 57105-4266. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kassube, Thomas L. can be contacted via phone (605) 335-8830.

Contact Information

Primary practice address
3805 S Kiwanis Cir Sioux Falls SD 57105-4266
Fax: (605) 335-0947
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X M552 South Dakota

Profile Details

NPI number 1184792236
LBN Legal business name Kassube, Thomas L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184792236 NPPES
South Dakota Other M552 LICENSE NUMBER

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