Provider Demographics
NPI:1679028484
Name:MASSEY, CHRISTOPHER CARREL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARREL
Last Name:MASSEY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5203 79TH ST STE H
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2894
Mailing Address - Country:US
Mailing Address - Phone:806-799-6780
Mailing Address - Fax:806-698-0668
Practice Address - Street 1:5203 79TH ST STE H
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2894
Practice Address - Country:US
Practice Address - Phone:806-799-6780
Practice Address - Fax:806-698-0668
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics