Individual
ANTHONY GABRIEL MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
343 WARRIOR RD, FORT STEWART, GA 31314
(578) 020-4333
Mailing address
247 BIRCHOLT GRV, POOLER, GA 31322-9868
(954) 299-6577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26095
FL
390200000X
Student in an Organized Health Care Education/Training Program
DN26095
FL
Other
Enumeration date
07/21/2021
Last updated
07/29/2026
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