Massoth, Nicholas A

Massoth, Nicholas A is an individual health care provider with primary practice located at 4121 Clock Tower Ave , Caldwell ID 83607-5006. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Massoth, Nicholas A can be contacted via phone (208) 459-7800.

Contact Information

Primary practice address
4121 Clock Tower Ave Caldwell ID 83607-5006
Phone: (208) 459-7800
Fax: (208) 455-8452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X D 3848 OS Idaho

Profile Details

NPI number 1114957917
LBN Legal business name Massoth, Nicholas A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 9th, 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.

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