# GARY P HUSSION DDS & MATTHEW H CASPERSEN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508864430
- **Authorized official:** MATTHEW H CASPERSEN DDS, MS (VICE-PRESIDENT)
- **Authorized official phone:** (540) 371-2611

## Contact information

- **Practice address:** 408 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
- **Practice address phone:** (540) 371-2611
- **Practice address fax:** (540) 372-3788
- **Mailing address:** 408 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
- **Mailing address phone:** (540) 371-2611
- **Mailing address fax:** (540) 372-3788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004869 | VA | Yes |
| 122300000X | Dentist | 0401410777 | VA | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 08/22/2020