Whalio Doctors

NPI 1003175498

Anthony Massaro, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Jacksonville, FL

Practice location

Address
7711 Baymeadows Rd E STE 7, Jacksonville, FL 32256-9110
Phone
(904) 565-1505
Mailing address
906 Mapleton Ter, Jacksonville, FL 32207-5205

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN20307 (FL)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DN20307 (FL)

Registry record

NPI
1003175498
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 May 2012
Record last updated
22 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.