Provider Demographics
NPI:1194529180
Name:CLAASSEN PLLC
Entity type:Organization
Organization Name:CLAASSEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-770-5159
Mailing Address - Street 1:2825 NEWBURYPORT AVE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2113
Mailing Address - Country:US
Mailing Address - Phone:239-770-5159
Mailing Address - Fax:
Practice Address - Street 1:1050 W CAMPBELL RD STE 200
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2981
Practice Address - Country:US
Practice Address - Phone:239-770-5159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty