IndividualActive
Amirreza Ghassemi, DDS, MSD
NPI 1083192389 · Periodontics · Richmond, VA
Provider details
- NPI number
- 1083192389
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- No
- License
- 019.031565 (IL)
Specialties & taxonomies
Dental Providers
Practice location
521 N 11th St
Richmond, VA 23298-5016
Phone: (804) 827-1710
Approximate (ZIP-level) locationGet directions
Mailing address
2800 College Ave Bldg 285
Alton, IL 62002-4742
Additional practice locations (1)
- 2800 College Ave Bldg 285Alton, IL 62002-4742Phone: (618) 474-7211
Registry dates
- Enumerated
- 2018-07-30
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.