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CASSI POULSEN
NPI 1568019479
Dentist in Chesapeake, VA

Active since August 26, 2019
109 GAINSBOROUGH SQ, CHESAPEAKE, VA 23320(757) 665-2474 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2026, Dec 1, 2022, Jul 24, 2020 and 1 more (4 updates tracked since 2019).

About Cassi Poulsen NPPES

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

CASSI POULSEN (NPI 1568019479) is an individual dentist in Chesapeake, Virginia, licensed in Virginia (0401417274) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1568019479
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCASSI POULSEN
Location Address109 GAINSBOROUGH SQChesapeake, VA 23320-1707
Mailing Address109 Gainsborough Sq Ste NChesapeake, VA 23320-1715 · (856) 993-0994
Phone(757) 665-2474
Sole ProprietorNo
Enumeration DateAugust 26, 2019
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1568019479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401417274
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
109 GAINSBOROUGH SQ, Chesapeake, VA 23320
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Other Identifiers 1

Medicaid1568019479VA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTHA ELIZABETH HILLIAN
Dentist (General Practice)
109 GAINSBOROUGH SQ
CHESAPEAKE, VA 23320
Chesapeake City (757) 842-7296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassi Poulsen's NPI number?

The NPI number for Cassi Poulsen is 1568019479. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Cassi Poulsen located?

Cassi Poulsen practices at 109 Gainsborough Sq, Chesapeake, VA 23320. The listed phone number is (757) 665-2474.

What is Cassi Poulsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Cassi Poulsen was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.