Edward C Massett Jr. DDS Apc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2368 Issued in LA

Legal business name

EDWARD C MASSETT JR. DDS APC

Practice address

2334 Gause Blvd E
Slidell, LA 70461-4141

Phone

(985) 641-2030

Fax

(985) 645-0272

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Bradley Dickerson, D.D.S., M.D.NPI 1629242896

Title

Owner

Phone

(985) 641-2030

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Bradley Dickerson, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Covington, LA
  • NPI 1629242896
  NPD (past) Authorized official
• Edward Charles Massett Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Slidell, LA
  • NPI 1386709285
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1154877686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 GAUSE BLVD. EAST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-641-2030",
            "fax_number": "985-645-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614141",
            "telephone_number": "985-641-2030",
            "fax_number": "985-645-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C MASSETT JR. DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857149",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1823686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East St. Tammany Mental Health Association (Mental Health Association of St. Tammany)
• Victor Manuel Echenique, MD
• Jeanne F Eddington, M.D.
• Robert A Eddington, M.D.
• Eddington, Slocum & Berault
• Edward L. Donaldson, Jr.,DDS Apdc and Jill M Donaldson, DDS Apdc
• Theta H Egnew, LPC
• Susan Eisman
• Robin Jackson Ekechukwu
• David McMillan Elder Jr.

• Oral and Maxillofacial Surgery (Dentist) in Slidell, LA
• Providers in Slidell, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.