Edward C Massett Jr. Dds Apc

LBN: Edward C Massett Jr. Dds Apc
Edward C Massett Jr. Dds Apc is an health care organization with primary practice located at 2334 Gause Blvd E , Slidell LA 70461-4141. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Edward C Massett Jr. Dds Apc can be contacted via phone (985) 641-2030, or through Dickerson, Christopher Bradley via phone (985) 641-2030.

Contact Information

Primary practice address
2334 Gause Blvd E Slidell LA 70461-4141
Fax: (985) 645-0272
Website:
Authorized official contact:
Name: Dickerson, Christopher Bradley D.D.S., M.D.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2368 Louisiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Louisiana

Profile Details

NPI number 1154877686
LBN Legal business name Edward C Massett Jr. Dds Apc
DBA Doing business as
Authorized official Dickerson, Christopher Bradley D.D.S., M.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2016
Last updated Aug 25th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154877686 NPPES
Louisiana MEDICAID 1823686
Louisiana MEDICAID 1857149

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