Active NPIIndividual provider

Dr. Michael Massoud, DMD

Dentist, General Practice in Gibbsboro, New Jersey

NPI Number1679059521
Practice location
63 N Lakeview Dr Ste 101, Gibbsboro, NJ 08026-1026
Fax
—
Last updated
August 11, 2019

Michael Massoud is a Dentist, General Practice based in Gibbsboro, NJ. Michael Massoud practices in Gibbsboro, NJ and has the professional credentials of DMD. The NPI Number for Michael Massoud is 1679059521 and holds a License No. 22DI02723900 (NJ). The current practice location address for Michael Massoud is 63 N Lakeview Dr Ste 101, Gibbsboro, NJ 08026-1026 and can be reached out via phone at 856-784-7900.

Provider Profile Details

NPI Number
1679059521
Provider Name
Michael Massoud
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
63 N Lakeview Dr Ste 101, Gibbsboro, NJ 08026-1026
Phone Number
856-784-7900
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2018
Last Update Date
August 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 N Lakeview Dr Ste 101
Gibbsboro, NJ 08026-1026
Zip
08026-1026
Phone Number
856-784-7900
Gibbsboro, NJ 08026Get directions →

Provider Business Mailing Address Details

Address
128 Leah CT
Dayton, NJ 08810-1348
City
Dayton
State
NJ
Zip
08810-1348

License Information

License Number
22DI02723900
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael Massoud, DMD?

The NPI number of Dr. Michael Massoud, DMD is 1679059521. It was assigned on July 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Massoud, DMD?

Dr. Michael Massoud, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02723900.

Where does Dr. Michael Massoud, DMD practice?

The practice location is 63 N Lakeview Dr Ste 101, Gibbsboro, NJ 08026-1026. The office can be reached at 856-784-7900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679059521 directly on the NPPES registry website.

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