Dr. George Arthur Vassos
Periodontist
158 Main St
Agawam
, Massachusetts 01001-1803
Dr. George Arthur Vassos
Periodontist
158 Main St
Agawam
, Massachusetts 01001-1803
(413) 786-2753
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. George Arthur Vassos
- 158 Main St
- Agawam, MA
- Zip : 01001-1803
- Fax : (413) 786-2753
- Phone : (413) 786-2341
Second Address
- Dr. George Arthur Vassos
- 158 Main St
- Agawam, MA
- Zip : 01001-1803
- Fax : (413) 786-2753
- Phone : (413) 786-2341
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Is Dr. George Arthur Vassos a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0300X | Periodontist | CT 6155 | CT |
| Y | 1223P0300X | Periodontist | MA 14517 | MA |
National Provider Identifier
| NPI | 1134331481 |
|---|---|
| Provider Name | Dr. George Arthur Vassos |
| First Address | Agawam, MA 01001-1803 |
| Second Address | Agawam, MA 01001-1803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.