Jennifer Stallings Massey, DDS
Individual provider Active NPI General Practice Dentistry · Seven Lakes, NC
NPI 1619943545 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1619943545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7490 (NC)
- Practice address
- 1064 7 LKS Drive
Seven Lakes, NC 27376-9754 - Phone
- (910) 673-6030
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722006501 | NC | Order and Referring Only - Oral Surgery |
0143533943 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer S. Massey, DDS, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7490 | NC | Yes |
Addresses
Primary practice location
1064 7 LKS Drive
Seven Lakes, NC 27376-9754
Mailing address
6513 Seven Lakes VLG
Seven Lakes, NC 27376-9300
Phone (910) 673-6030
Other providers in Seven Lakes, NC
- Robert Chad Allen
- Roberta Jean Boisselle
- Heidi Jean Bonsall
- Quality Care Pharmacy of the Sandhills, Inc
- Susan Rospert
- Seven Lakes Emergency Medical Service, Inc.
- Smith Psychological Services, P.C.
- Carol Yvonne Smith
All providers in Seven Lakes, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.