Individual
DR. JENNIFER PAIGE BASSIUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
999 CENTRAL AVE STE 103, WOODMERE, NY 11598-1205
(866) 987-6673
Mailing address
1841 MAMIE DYER LN, VIENNA, VA 22182-3400
(917) 696-9325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051187
NY
1223X2210X
Orofacial Pain Dentistry
Primary
051187
NY
Other
Enumeration date
09/28/2006
Last updated
01/08/2025
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