Individual
DR. DOUGLAS LEWIS MASSINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1300 RED JOHN DR, DAYTONA BEACH, FL 32124-1075
(386) 254-1547
Mailing address
104 OVEROAKS PL, SANFORD, FL 32771-7118
(407) 328-9421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 9276
FL
1223G0001X
General Practice Dentistry
DN010697
GA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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