Provider Demographics
NPI:1013030816
Name:CASSESE, MICHAEL NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NEIL
Last Name:CASSESE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1895 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1201
Mailing Address - Country:US
Mailing Address - Phone:716-874-6363
Mailing Address - Fax:716-874-6700
Practice Address - Street 1:1895 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14223-1201
Practice Address - Country:US
Practice Address - Phone:716-874-6363
Practice Address - Fax:716-874-6700
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist