Individual
JESSE HUGH MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7010 YELLOWTAIL RD STE 100, CHEYENNE, WY 82009-6113
(307) 632-6597
Mailing address
5505 FRANKLIN DR, CHEYENNE, WY 82009-1120
(307) 630-0223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1492
WY
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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