Individual provider · Type 1 NPI
Prasong Iamsurey, DDS
General Practice Dentistry · Kelseyville, CA
NPI number
1619910767
Active
Practice location
4150 Main St
Kelseyville, CA 95451-9402
Fax (707) 279-8335
Mailing address
4150 Main Street, PO Box 514
Kelseyville, CA 95451-0514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 34119 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Kelseyville
About NPI 1619910767
Prasong Iamsurey, DDS's National Provider Identifier is 1619910767, issued on Jun 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kelseyville, CA. The record was last updated on Jul 13, 2026.