Search › Idaho › Oral and Maxillofacial Pathology Dentistry
Nicholas Massoth, D.M.D
NPI 1114957917 · on the registry since 2006
Practice
- Address
- 4121 Clock Tower Ave
Caldwell, ID 83607 - Phone
- (208) 459-7800
- Fax
- (208) 455-8452
- Organisation at this address
- Canyon County Oral Maxillofacial Surgery, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Oral and Maxillofacial Pathology Dentistry
1223P0106X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho