MYRON L MASSEY DDS INC NPI 1609390582

NPI Information

NPI: 1609390582
Provider Name: MYRON L MASSEY DDS INC

Doing Business As: DENTAL PRACTICE OF SAN BERNARDINO

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
322 N H ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 888-1301
Get Directions

MYRON L MASSEY DDS INC is a dental clinic center in San Bernardino, CA. MYRON L MASSEY DDS INC NPI is 1609390582. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Practice Of San Bernardino.

The provider's business location address is:

322 N H ST
SAN BERNARDINO, CA
ZIP 92410-224
Phone: (909) 888-1301
Fax: (909) 884-4697

The provider's authorized official is Myron Lloyd Massey .
The authorized official title is President/owner and has the following contact phone number (909) 709-5657.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	61417	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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