Organization
GREATER SPRINGFIELD ENDODONTICS PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. MASSEY D.D.S., M.S.D. (PARTNER)
(417) 883-7668
Entity
Organization
Contact information
Practice address
2808 S INGRAM MILL RD, BUILDING C108, SPRINGFIELD, MO 65804-4079
(417) 883-7668
(417) 883-8525
Mailing address
2808 S INGRAM MILL RD, BUILDING C108, SPRINGFIELD, MO 65804-4079
(417) 883-7668
(417) 883-8525
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
015864
MO
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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