Provider Demographics
NPI:1114156478
Name:MASSEY, CHRISTEN MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:MARIE
Last Name:MASSEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 METAIRIE RD STE 1B207
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4050
Mailing Address - Country:US
Mailing Address - Phone:504-838-8200
Mailing Address - Fax:504-838-8884
Practice Address - Street 1:701 METAIRIE RD STE 1B207
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4050
Practice Address - Country:US
Practice Address - Phone:504-838-8200
Practice Address - Fax:504-838-8884
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA69151223P0221X
TX245501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA28156Medicaid