Provider Demographics
NPI:1871043232
Name:DR NASSIF AND ASSOCIATES INC
Entity Type:Organization
Organization Name:DR NASSIF AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-695-3353
Mailing Address - Street 1:36855 AMERICAN WAY
Mailing Address - Street 2:STE 2A
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4054
Mailing Address - Country:US
Mailing Address - Phone:440-695-3353
Mailing Address - Fax:440-401-2139
Practice Address - Street 1:36855 AMERICAN WAY
Practice Address - Street 2:STE 2A
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4054
Practice Address - Country:US
Practice Address - Phone:440-695-3353
Practice Address - Fax:440-401-2139
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR NASSIF AND ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH197161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty