Provider Demographics
NPI:1932235579
Name:DAVID M. HASSON, DMD,PA
Entity Type:Organization
Organization Name:DAVID M. HASSON, DMD,PA
Other - Org Name:MT. AIRY CHILDREN'S DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HASSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-829-6588
Mailing Address - Street 1:602 CENTER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-7420
Mailing Address - Country:US
Mailing Address - Phone:301-829-6588
Mailing Address - Fax:301-829-6338
Practice Address - Street 1:602 CENTER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-7420
Practice Address - Country:US
Practice Address - Phone:301-829-6588
Practice Address - Fax:301-829-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD93661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty