Provider Demographics
NPI:1497893390
Name:THOMAS V. MASSA, DMD AND ASSOCIATES
Entity Type:Organization
Organization Name:THOMAS V. MASSA, DMD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:V
Authorized Official - Last Name:MASSA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-597-3500
Mailing Address - Street 1:588 E BAY AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3392
Mailing Address - Country:US
Mailing Address - Phone:609-597-3500
Mailing Address - Fax:609-597-2542
Practice Address - Street 1:588 E BAY AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3392
Practice Address - Country:US
Practice Address - Phone:609-597-3500
Practice Address - Fax:609-597-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI148761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty