National Provider Identifier Database

MONICA L CLISSO, DDS – NPI #1649429036
General Practice

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.


Contact Information

MONICA L CLISSO, DDS
807 PARK AVE NE
NORTON, VA24273
Phone: 276-679-6030
Fax: 276-679-6030
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MONICA L CLISSO

NPI Number 1649429036
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/10/2008
Last updated 09/10/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0401410603
  • VA Medicaid: 9178672
  • VA Other: 197242 BLUE CROSS ANTHEM
Hospital affiliation n/a

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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