PLEASANT PERIODONTICS - NPI 1457788200

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Pleasant Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLEASANT PERIODONTICS (NPI 1457788200) is a healthcare organization registered as a periodontics in Methuen, Massachusetts and active in the NPI registry since October 2013. The organization lists Bassam El-jamous, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1457788200

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameBASSAM JAMOUS,LLC

Location Address126A PLEASANT VALLEY ST, SUITE 1,2Methuen, MA 01844-7217

Mailing Address126a Pleasant Valley St, Suite 1,2Methuen, MA 01844-7217 · (978) 688-5646 · Fax (978) 688-5647

Phone(978) 688-5646

Fax(978) 688-5647

Organization SubpartNo

Authorized OfficialBassam El-jamousPeriodontist · (978) 688-5646

Enumeration DateOctober 10, 2013

Last NPPES UpdateOctober 18, 2013

✔ NPI 1457788200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MA · 21922

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

126A PLEASANT VALLEY ST, Methuen, MA 01844

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Other Names 1

Doing Business AsPleasant Periodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP