Provider Demographics
NPI:1639369846
Name:KASABIAN, JOSEPH E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:KASABIAN
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 1:142 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3231
Mailing Address - Country:US
Mailing Address - Phone:603-742-1414
Mailing Address - Fax:
Practice Address - Street 1:142 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3231
Practice Address - Country:US
Practice Address - Phone:603-742-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH945122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist