DR. Michael Todd Massie, D.M.D.

NPI #1669481370 in East Alton, Illinois

Provider Information

NPI Number: 1669481370
Entity Type: Individual
Name: DR. Michael Todd Massie, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 321 N BELLWOOD DR
City: East Alton
State: Illinois
ZIP Code: 62024-2038
Phone: (618) 258-0028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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