Individual
RONALD ERIC MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD
Contact information
Practice address
24 NORTH SHORE DR, LAKE OZARK, MO 65026-5721
(573) 365-0220
(573) 365-1962
Mailing address
24 N SHORE DR, LAKE OZARK, MO 65049-7111
(573) 365-0220
(573) 365-1962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015226
MO
Other
Enumeration date
11/16/2005
Last updated
08/25/2016
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