Premier Dental & Oral Health Group,P.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

15226 Issued in MO

Legal business name

PREMIER DENTAL & ORAL HEALTH GROUP,P.C.

Practice address

24 N Shore Dr
Lake Ozark, MO 65049-7111

Phone

(573) 365-0220

Fax

(573) 365-1962

NPI assigned

Oct 7, 2015

Organization subpart

Yes

Parent organization

PREMIER DENTAL & ORAL HEALTH GROUP,P.C.As reported in NPPES

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

Authorized official

Name

Dr. Ronald E Massie, DDSNPI 1285616235

Title

President/ Owner

Phone

(573) 365-0220

Specialties & licenses 1

Addresses

Part of

Premier Dental Oral Health Grouppc

Locations

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1184094880",
    "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 & ORAL HEALTH GROUP,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER DENTAL & ORAL HEALTH GROUP,P.C.",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "573-365-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "15226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Customized Equipment (DME) in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.