Provider Demographics
NPI:1003112996
Name:CASSINELLI AND SHANKER ORTHODONTICS PARTNERSHIP
Entity Type:Organization
Organization Name:CASSINELLI AND SHANKER ORTHODONTICS PARTNERSHIP
Other - Org Name:DRS CASSINELLI AND SHANKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:G
Authorized Official - Last Name:CASSINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:513-777-7060
Mailing Address - Street 1:7242 TYLERS CORNER DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6334
Mailing Address - Country:US
Mailing Address - Phone:513-777-7060
Mailing Address - Fax:513-755-5632
Practice Address - Street 1:7242 TYLERS CORNER DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6334
Practice Address - Country:US
Practice Address - Phone:513-777-7060
Practice Address - Fax:513-755-5632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty