Provider Demographics
NPI:1740796309
Name:NOUR N MASUD DDS,PLLC
Entity Type:Organization
Organization Name:NOUR N MASUD DDS,PLLC
Other - Org Name:TRUESMILESDENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOUR
Authorized Official - Middle Name:N
Authorized Official - Last Name:MASUD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-424-0025
Mailing Address - Street 1:176 SCAMRIDGE CURV
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5213
Mailing Address - Country:US
Mailing Address - Phone:860-967-7521
Mailing Address - Fax:
Practice Address - Street 1:1719 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1209
Practice Address - Country:US
Practice Address - Phone:716-424-0025
Practice Address - Fax:716-424-0025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOUR N MASUD DDS,PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty