Organization
DANIEL R SASSANO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R SASSANO DDS (OWNER)
(704) 289-9519
Entity
Organization
Contact information
Practice address
704 S SUTHERLAND AVE, MONROE, NC 28112
(704) 289-9519
(704) 289-9104
Mailing address
704 S SUTHERLAND AVE, MONROE, NC 28112
(704) 289-9519
(704) 289-9104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92924
UNITED CONCORDIA
—
01
—
97580
BLUE CROSS
NC
Enumeration date
10/02/2006
Last updated
11/01/2010
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