IndividualActive
Nicholas Massoth, D.M.D.
NPI 1114957917 · Oral and Maxillofacial Pathology Dentistry · Caldwell, ID
Provider details
- NPI number
- 1114957917
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D 3848 OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
4121 Clock Tower Ave
Caldwell, ID 83607-5006
Phone: (208) 459-7800
Fax: (208) 455-8452
Approximate (ZIP-level) locationGet directions
Mailing address
4121 Clock Tower Ave
Caldwell, ID 83607-5006
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.