Individual provider · Type 1 NPI

Carlos Bou Assi, DMD

General Practice Dentistry · Fort Drum, NY

NPI number 1699874453 Active

Practice location

10590 Enduring Freedom Drive
Fort Drum, NY 13602-5005

Call (315) 772-6234 Map

Fax (315) 774-3558

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X03622 (NH)
Dentist 122300000X21826 (MA)
General Practice Dentistry Primary 1223G0001X22DI02299200 (NJ)

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.

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About NPI 1699874453

Carlos Bou Assi, DMD's National Provider Identifier is 1699874453, issued on Sep 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Drum, NY. The record was last updated on Apr 9, 2015.