Healthcare Provider Details

I. General information

NPI: 1932035490
Provider Name (Legal Business Name): NATALIE AREEJ MASRI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 BAYSIDE LAKES BLVD SE
PALM BAY FL
32909-6894
US

IV. Provider business mailing address

3420 BAYSIDE LAKES BLVD SE STE 1
PALM BAY FL
32909-6894
US

V. Phone/Fax

Practice location:
  • Phone: 321-515-4656
  • Fax:
Mailing address:
  • Phone: 321-722-0155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: