Organization
MASSEY FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TED MASSEY D.D.S. (OWNER)
(217) 352-6232
Entity
Organization
Contact information
Practice address
1810 WOODFIELD DR, SAVOY, IL 61874-9505
(217) 352-6232
Mailing address
1810 WOODFIELD DR, SAVOY, IL 61874-9505
(217) 352-6232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023621
IL
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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