CASSIS DENTAL CENTER, PLLC
NPI 1619339207
Dentist - General Practice in Fayetteville, WV
About Cassis Dental Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIS DENTAL CENTER, PLLC (NPI 1619339207) is a healthcare organization registered as a general practice in Fayetteville, West Virginia and active in the NPI registry since March 2016. The organization lists Bruce L Cassis, Owner / Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cassis Dental Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cassis Dental Center, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cassis Dental Center, PLLC's NPI number?
The NPI number for Cassis Dental Center, PLLC is 1619339207. It was assigned to this organization in the NPPES registry on March 23, 2016.
Where is Cassis Dental Center, PLLC located?
Cassis Dental Center, PLLC is located at 138 Lively St, Fayetteville, WV 25840. The listed phone number is (304) 574-0424.
What is Cassis Dental Center, PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Cassis Dental Center, PLLC enrolled in Medicare?
Yes. Cassis Dental Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cassis Dental Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Cassis Dental Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cassis Dental Center, PLLC was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Cassis Dental Center, Pllc · NPI 1619339207
General Practice organization in Fayetteville, West Virginia. Organization record, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1619339207 (Entity type: Organization)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Bruce Cassis, OWNER / DENTIST
## Practice location
- **Address:** 138 LIVELY ST, Fayetteville, WV 25840-1148
- **Phone:** (304) 574-0424 · **Fax:** (304) 574-2102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619339207) · Data from the CMS NPPES public registry.