Mark Allen Massey, DDS Valid NPI
Individual provider · Endodontics · Springfield, MO
- NPI
- 1063591089
- Type
- Individual (Type 1)
- Primary specialty
- Endodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223E0200X
- License number
- 015864 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-02
- Last updated
- 2007-07-08
Practice location
4350 S National Ave Ste B122
Springfield, MO 65810-2658
(417) 883-7668