Massingill, Douglas Lewis

Massingill, Douglas Lewis is an individual health care provider with primary practice located at 1300 Red John Dr , Daytona Beach FL 32124-1075. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Massingill, Douglas Lewis can be contacted via phone (386) 254-1547.

Contact Information

Primary practice address
1300 Red John Dr Daytona Beach FL 32124-1075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 9276 Florida
Dental Providers / General Practice 1223G0001X DN010697 Georgia

Profile Details

NPI number 1578785473
LBN Legal business name Massingill, Douglas Lewis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers