Ibrahim Massoud, DDS
Dentist · Springfield, IL
Practice location
2743 S 6TH StreetSpringfield, IL 62703
- Phone
- (217) 522-4121
- Fax
- (217) 522-7140
NPI record
- NPI
- 1598834616
- Entity type
- Individual (Type 1)
- Enumeration date
- November 6, 2006
- Last updated
- May 31, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
O19025844 | IL |
About Dr. Massoud
Ibrahim Massoud, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2743 S 6TH Street, Springfield, IL 62703. The NPI number 1598834616 was assigned on November 6, 2006 and the record was last updated on May 31, 2013.
Dr. Massoud lists a license in the registry: #O19025844 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ibrahim Massoud, DDS?
The NPI number is 1598834616.
What is the phone number of Dr. Massoud?
The phone number listed for the practice location is (217) 522-4121.
Where is Dr. Massoud located?
2743 S 6TH Street, Springfield, IL 62703.
What is the taxonomy code for Dr. Massoud?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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