Organization
GARY P HUSSION DDS & MATTHEW H CASPERSEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW H CASPERSEN DDS, MS (VICE-PRESIDENT)
(540) 371-2611
Entity
Organization
Contact information
Practice address
408 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 371-2611
(540) 372-3788
Mailing address
408 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 371-2611
(540) 372-3788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004869
VA
122300000X
Dentist
0401410777
VA
Other
Enumeration date
07/13/2005
Last updated
08/22/2020
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