Provider Demographics
NPI:1265100887
Name:JOSEPH J MASSAD DDS
Entity type:Organization
Organization Name:JOSEPH J MASSAD DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASSAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-749-5600
Mailing Address - Street 1:302 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-2317
Mailing Address - Country:US
Mailing Address - Phone:918-749-5600
Mailing Address - Fax:
Practice Address - Street 1:302 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-2317
Practice Address - Country:US
Practice Address - Phone:918-749-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental