Individual provider · NPI-1

Dr. Jennifer Paige Bassiur, D.D.S.

Dentist, Orofacial Pain · Woodmere, NY

NPI number1043302151
StatusActive
Last updated in NPPESJan 8, 2025

Details

NPI
1043302151
Entity type
Individual (NPI-1)
Name
Dr. Jennifer Paige Bassiur
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2006
Certification date
Jan 8, 2025
Last updated
Jan 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X2210X Dentist, Orofacial Pain051187NYYes
122300000X Dentist051187NY

Practice location

999 Central Ave Ste 103
Woodmere, NY 11598-1205

Phone 866-987-6673

Mailing address

1841 Mamie Dyer Ln
Vienna, VA 22182-3400

Phone 917-696-9325

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