Provider Demographics
NPI:1851420228
Name:MASSEY, NANCY B (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:B
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 1:4662 ROBINSON LOOP E
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-8176
Mailing Address - Country:US
Mailing Address - Phone:901-496-9641
Mailing Address - Fax:
Practice Address - Street 1:845 S HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-4254
Practice Address - Country:US
Practice Address - Phone:901-323-8488
Practice Address - Fax:901-323-9489
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice