Massett, Edward Charles
Massett, Edward Charles is an sole proprietor health care provider with primary practice located at 2334 Gause Blvd East , Slidell LA 70461. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Massett, Edward Charles can be contacted via phone (985) 641-2030.Contact Information
Primary practice address
2334 Gause Blvd East
Slidell LA 70461
Phone: (985) 641-2030
Fax: (985) 645-0272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 2368 | Louisiana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2368 | Louisiana |
Profile Details
| NPI number | 1386709285 |
|---|---|
| LBN Legal business name | Massett, Edward Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Feb 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386709285 | NPPES |
| Louisiana | MEDICAID | 1823686 | |
| Louisiana | MEDICAID | 00450504 |
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