Premier Dental and Oral Health Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015226 Issued in MO

Legal business name

PREMIER DENTAL AND ORAL HEALTH GROUP

Practice address

24 N Shore Dr
Lake Ozark, MO 65049-7111

Phone

(573) 365-0220

Fax

(573) 365-1962

NPI assigned

Nov 16, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Eric Massie, DDS, FAGDNPI 1285616235

Title

President

Phone

(573) 365-0220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Eric Massie, DDS, FAGD

  • General Practice Dentistry
  • Lake Ozark, MO
  • NPI 1285616235
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1023090081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N SHORE DR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650497111",
            "telephone_number": "573-365-0220",
            "fax_number": "573-365-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N SHORE DR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650497111",
            "telephone_number": "573-365-0220",
            "fax_number": "573-365-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL AND ORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-365-0220",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gage Pavely
• Chanceler Pemberton
• Rebekah Sue Petras, RN
• Jeffrey L Piontek, M.D.
• Premier Dental & Oral Health Group,P.C.
• Darin Thomas Puppel, LMT
• Angela Ray
• Richland Medical Center, Inc.
• Montana Rios
• David Robb

• General Practice Dentistry in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.