IndividualActive
Anthony Massaro, MD, DMD
NPI 1003175498 · Oral & Maxillofacial Surgery (D.M.D.) · Jacksonville, FL
Provider details
- NPI number
- 1003175498
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN20307 (FL)
Practice location
7711 Baymeadows Rd E Ste 7
Jacksonville, FL 32256-9110
Phone: (904) 565-1505
Mailing address
906 Mapleton Ter
Jacksonville, FL 32207-5205
Registry dates
- Enumerated
- 2012-05-07
- Last updated
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.