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
Fax: (985) 645-0272
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386709285 NPPES
Louisiana MEDICAID 1823686
Louisiana MEDICAID 00450504

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