Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS A MASSOTH, D.M.D.
ActiveNICHOLAS A MASSOTH, D.M.D. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in CALDWELL, Idaho. NPI 1114957917 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · CALDWELL, ID
Registration Details
- NPI Number
- 1114957917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.146226018859 yrs)
- Last Updated
- Jul 9, 2007
- License
-
D 3848 OS (ID)
Practice Information
- Address
-
4121 CLOCK TOWER AVECALDWELL, ID, 836075006Browse ID providers · Browse ZIP 83607
- Phone
- 2084597800
- Fax
- 2084558452
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.