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EDWARD C MASSETT JR. DDS APC
NPI 1154877686
Dentist - Oral and Maxillofacial Surgery in Slidell, LA

Active since August 25, 2016
2334 GAUSE BLVD E, SLIDELL, LA 70461(985) 641-2030(985) 645-0272 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward C Massett Jr. Dds Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD C MASSETT JR. DDS APC (NPI 1154877686) is a healthcare organization registered as an oral and maxillofacial surgery in Slidell, Louisiana and active in the NPI registry since August 2016. The organization lists Christopher Bradley Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154877686
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEDWARD C MASSETT JR. DDS APC
Location Address2334 GAUSE BLVD ESlidell, LA 70461-4141
Mailing Address2334 Gause Blvd. EastSlidell, LA 70461 · (985) 641-2030 · Fax (985) 645-0272
Phone(985) 641-2030
Fax(985) 645-0272
Organization SubpartNo
Authorized OfficialChristopher Bradley DickersonOwner · (985) 641-2030
Enumeration DateAugust 25, 2016
✔ NPI 1154877686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in LA · 2368
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2334 GAUSE BLVD E, Slidell, LA 70461
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Other Identifiers 2

Medicaid1857149LA
Medicaid1823686LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY MARIE MEILLEUR DDS
Dentist (Periodontics)
2334 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 645-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward C Massett Jr. Dds Apc's NPI number?

The NPI number for Edward C Massett Jr. Dds Apc is 1154877686. It was assigned to this organization in the NPPES registry on August 25, 2016.

Where is Edward C Massett Jr. Dds Apc located?

Edward C Massett Jr. Dds Apc is located at 2334 Gause Blvd E, Slidell, LA 70461. The listed phone number is (985) 641-2030.

What is Edward C Massett Jr. Dds Apc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Edward C Massett Jr. Dds Apc was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.