Most Relevant Information
Provider Data
| NPI Number: | 1003175498 |
| Provider Name: | ANTHONY MASSARO MD, DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | DN20307 |
Most Important Dates
| Enumeration Date: | 05/07/2012 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
7711 BAYMEADOWS RD E STE 7
JACKSONVILLE
FL
322569110
Practice Location Phone/Fax
| Phone: | 9045651505 |
| Fax: |
Provider Mailing Location
906 MAPLETON TER
JACKSONVILLE
FL
322075205
Provider Mailing Phone/Fax
| Phone: | 4123340163 |
| Fax: |