Provider Demographics
NPI:1306905583
Name:DOUGLAS M MASI DMD LLC
Entity type:Organization
Organization Name:DOUGLAS M MASI DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:MORRISON
Authorized Official - Last Name:MASI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-725-1525
Mailing Address - Street 1:64 E SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2113
Mailing Address - Country:US
Mailing Address - Phone:908-725-1525
Mailing Address - Fax:908-725-4890
Practice Address - Street 1:64 E SOMERSET ST
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2113
Practice Address - Country:US
Practice Address - Phone:908-725-1525
Practice Address - Fax:908-725-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty