DR. CASANDRA LEE TESSARO (NPI# 1336434919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336434919 |
| Entity Type | Individual |
| Full Name | DR. CASANDRA LEE TESSARO |
| Credential | D.M.D. |
| Practice Address |
3131 Walnut St 205 Philadelphia PA 19104-3415 |
| Practice Telephone | 2162170256 |
| Mailing Telephone | 2162170256 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS038571 | PA | Dental Providers |
| Street Address |
3131 WALNUT ST 205 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245681832 | Larisa Kushnir | Dentist | 3131 Walnut St, Apt 451, Philadelphia, PA 19104-3415 | 2016-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 1427412691 | Alan Morris Barnett | Dentist | 7601 Castor Avenue., Suite #302, Philadelphia, PA 19152-4027 | 2016-04-13 |
| 1821308487 | Edward M. Segal, D.d.s., Associates | Dentist | 6508 Ridgeavenue, Philadelphia, PA 19128 | 2010-10-18 |
| 1073835005 | Kuo-wei Lin | Dentist | 1601 Walnunt Street, Suite 402, Philadelphia, PA 19102 | 2010-02-18 |
| 1790706778 | Premier Endodontics, PC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-07-22 |
| 1316985864 | Alan M Barnett Bds Associates | Dentist | 7601 Castor Avenue, Suite 302, Philadelphia, PA 19152-4026 | 2006-06-04 |
| 1164023800 | Nasim Levin | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-11-07 |
| 1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| 1356901953 | Minje Kim | Dentist | 1500 Walnut St Ste 600, Philadelphia, PA 19102-3516 | 2019-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.