Individual
PAUL STEVEN CASAMASSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 CHILDRENS DR, DEPARTMENT OF DENTISTRY, COLUMBUS, OH 43205-2664
(614) 722-5650
(614) 722-5671
Mailing address
700 CHILDRENS DR, DEPARTMENT OF DENTISTRY, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30018699
OH
1223P0221X
Pediatric Dentistry
Primary
30018699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243972
—
OH
Enumeration date
08/03/2006
Last updated
04/14/2025
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