Provider Demographics
NPI:1194133413
Name:NASIF, YASER (DDS)
Entity type:Individual
Prefix:
First Name:YASER
Middle Name:
Last Name:NASIF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 945
Mailing Address - Street 2:DENTAL CENTERS OF VIRGINIA, DR.SAM ENGLISH
Mailing Address - City:WEST POINT
Mailing Address - State:VA
Mailing Address - Zip Code:23181-0945
Mailing Address - Country:US
Mailing Address - Phone:804-843-3233
Mailing Address - Fax:
Practice Address - Street 1:13 GAYLE ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2442
Practice Address - Country:US
Practice Address - Phone:575-551-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414560122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist