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Dr. Daniel Lee Massie, DMD
General Practice Dentistry in Carbondale, Illinois
NPI 1376613539

Daniel Lee Massie is a General Practice Dentistry based in Carbondale, IL and is specialized in General Practice. Daniel Lee Massie practices in Carbondale, IL and has the professional credentials of DMD. The NPI Number for Daniel Lee Massie is 1376613539 and holds a License No. 19-025510 (Illinois).

The current practice location address for Daniel Lee Massie is 200 N Giant City Rd, Carbondale, IL and can be reached out via phone at 618-529-2711 and via fax at 618-351-0393. You can also correspond with Daniel Lee Massie through the mailing address at 200 N GIANT CITY RD, CARBONDALE, IL - 62902-6410 (mailing address contact number: 618-529-2711).

Location: 200 N Giant City Rd, Carbondale, IL, 62902-6410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376613539
Provider Name
Daniel Lee Massie
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
200 N Giant City Rd, Carbondale, IL, 62902-6410
Phone Number
618-529-2711
Fax Number
618-351-0393
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37-1408733 01 IL T.I.N.
institution
Provider Business Practice Location Address Details
Address
200 N Giant City Rd
City
Carbondale
State
Illinois
Zip
62902-6410
Phone Number
618-529-2711
Fax Number
618-351-0393
person
Provider Business Mailing Address Details
Address
200 N Giant City Rd
City
Carbondale
State
Illinois
Zip
62902-6410
Phone Number
618-529-2711
Fax Number
618-351-0393
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19-025510 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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