Individual
DR. JESSICA CLAIRE MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1551 WEALTHY ST SE STE A, GRAND RAPIDS, MI 49506-2766
(616) 330-1123
(616) 330-1125
Mailing address
1551 WEALTHY ST SE STE A, GRAND RAPIDS, MI 49506-2766
(616) 330-1123
(616) 330-1125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020874
MI
1223G0001X
General Practice Dentistry
019.028593
IL
1223P0221X
Pediatric Dentistry
021.002426
IL
1223P0221X
Pediatric Dentistry
Primary
2901020874
MI
Other
Enumeration date
06/17/2011
Last updated
08/26/2024
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