Ibrahim Massoud, DDS
NPI 1598834616 · on the registry since 2006
Practice
- Address
- 2743 S 6th Street
Springfield, IL 62703 - Phone
- (217) 522-4121
- Fax
- (217) 522-7140
- Organisation at this address
- Southern View Dental Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-31
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 Illinois