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Contact Information

JAMAL A KUSSAD, DDS
282 PINEHURST ST
LYNDONVILLE, VT05851
 Phone: 802-427-3323
 Fax: 802-427-3332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JAMAL A KUSSAD · (Male)

NPI Number 1073689204
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/28/2006
Last updated 06/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 21855
  • VT License # 016.0133972
  • VT Medicaid 6708822
  • VT Other 1073689204 ID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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