EDWARD C MASSETT JR. DDS APC


Address: 2334 Gause Blvd E, Slidell, LA 70461-4141
Phone: 9856412030

EDWARD C MASSETT JR. DDS APC (NPI# 1154877686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154877686
Entity Type Organization
Organization Name EDWARD C MASSETT JR. DDS APC
Practice Address 2334 Gause Blvd E
Slidell
LA 70461-4141
Mailing Address 2334 Gause Blvd. East
Slidell
LA 70461
Practice Telephone 9856412030
Practice Fax Number 9856450272
Mailing Telephone 9856412030
Mailing Fax Number 9856450272
Enumeration Date 2016-08-25
Last Update Date 2016-08-25
Authorized Official Name DR. CHRISTOPHER BRADLEY DICKERSON (OWNER)
Authorized Official Telephone 9856412030
Authorized Official Credential D.D.S., M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
LA Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
2368 LA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1857149 05
LA 1823686 05

Office Location

Street Address 2334 GAUSE BLVD E
City SLIDELL
State LA
Zip Code 70461-4141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760521496 Kelly Marie Meilleur Dentist 2334 Gause Blvd E, Slidell, LA 70461-4141 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013553577 Kira Gilmore Smith Nurse Practitioner Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 2019-11-20
1104477256 Peter Khong Pharmacy 2915 Us-190, Mandeville, LA 70461 2019-09-20
1457844706 April Hughes Whitfield Counselor 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 2018-06-12
1154824761 Lisa Michele Mcclinton Counselor 1212 Montgomery Blvd, Slidell, LA 70461 2018-03-10
1952816902 Keiona Monae Thompson Counselor 1121 Clairise Ct, Slidell, LA 70461 2017-12-12
1275048688 Aisha Cade Counselor 250 Cross Gates Blvd, Slidell, LA 70461 2017-12-07
1598285405 Sureway Transits Non-emergency Medical Transport (VAN) 135 Rue De La Paix, Slidell, LA 70461 2017-06-21
1043743198 Natasha Hunter Counselor 1650 Barrymore St, Slidell, LA 70461 2017-04-05
1154873891 Chaise A Bennett Physical Therapist 2040 Gause Blvd, Suite 6, Slidell, LA 70461 2016-10-28
1104373539 Kaonta Simmons Counselor 2185 Wellington Ln, Slidell, LA 70461 2016-09-01
Find all providers in zip 70461

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659340834 Russell L Westfall Dentist 1271 7th St, Slidell, LA 70458-2041 2006-03-17
1689925539 Northlake Oral and Facial Surgery LLC Dentist 1271 7th St, Slidell, LA 70458-2041 2012-10-01
1902981921 Craig J Brandner Dentist 2364 Gause Blvd E, Suite 102, Slidell, LA 70461-4141 2006-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346868676 Cypress Bend Oral & Maxillofacial Surgery Dentist 106 Rue Bastille, Lafayette, LA 70508 2020-07-13
1578089603 Ardoin-kennedy LLC Dentist 203 A Energy Parkway, Lafayette, LA 70508 2017-08-21
1932583358 Oral Surgery& Dental Implant Center of Louisiana Dentist 16206 Airline Hwy, Prairieville, LA 70769-4248 2015-07-15
1588078224 Ricardo Lugo Dentist 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228 2014-06-19
1184059818 Yasser Saad Alali Dentist 5243 Butter Creek, Unit H7, Baton Rouge, LA 70809-0603 2013-09-12
1679913222 Nickolas Stanley Maskas Dentist 4720 Lake Street, Lake Charles, LA 70605 2013-06-27
1720354822 John Ben Ragusa Dentist 16819 Cherry Bark Dr, Baton Rouge, LA 70810-5811 2012-03-22
1871882480 Andrew Frederick Wetterlind Dentist 13730 Millerville Greens Blvd, Baton Rouge, LA 70816-1696 2011-04-04
1932415007 Dr. David M. Vieth Dds, A Professional Corporation Dentist 91 Westbank Expy, Suite 345, Gretna, LA 70053-3615 2010-08-26
1871757187 George Rawleigh Fisher Dentist 1624 Wolf Cir, Lake Charles, LA 70605 2008-07-16
Find all providers with the same taxonomy

Competitor

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City SLIDELL
Zip Code 70461

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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