MEDICARE: PREMIER DENTAL AND ORAL HEALTH GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	015226	MO

General Provider Information

NPI Number	:	1023090081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER DENTAL AND ORAL HEALTH GROUP

Provider Business Mailing Address
First Line	:	24 N SHORE DR
Second Line	:
City	:	LAKE OZARK
State	:	MO
Zip	:	65049-7111
Country	:	US
Telephone Number	:	573-365-0220
Fax Number	:	573-365-1962

Provider Business Practice Location Address
First Line	:	24 N SHORE DR
Second Line	:
City	:	LAKE OZARK
State	:	MO
Zip	:	65049-7111
Country	:	US
Telephone Number	:	573-365-0220
Fax Number	:	573-365-1962

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD ERIC MASSIE
Credential	:	DDS, FAGD
Telephone Number	:	573-365-0220

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	08/21/2007

Similar Medicare Providers

1184094880 — PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
Practice Location Address:

24 N SHORE DR
LAKE OZARK, MO
65049-7111

Practice Phone: 573-365-0220
Practice Fax: 573-365-1962

1043283864 — MICHAEL LEOPOLD PT
Practice Location Address:

7111 LAKE WORTH RD
LAKE WORTH, FL
33467-2906

Practice Phone: 561-966-7950
Practice Fax:

1174581177 — ROBYN HUFF OTR/L
Practice Location Address:

7111 LAKE WORTH RD
LAKE WORTH, FL
33467-2906

Practice Phone: 561-966-7950
Practice Fax: 561-514-8346

1114957453 — WORTH PHYSICAL THERAPY, INC.
Practice Location Address:

7111 LAKE WORTH RD # 15
LAKE WORTH, FL
33467-2906

Practice Phone: 561-966-7950
Practice Fax: 561-514-8346

1891902664 — HELPING HANDS OCCUPATIONAL THERAPY INC
Practice Location Address:

7111 LAKE WORTH RD
LAKE WORTH, FL
33467-2906

Practice Phone: 561-386-7420
Practice Fax: 561-792-7097

1588854939 — BETH CAMMARANO THOMPSON DPT
Practice Location Address:

111 E LAKE MARY BLVD STE 113
SANFORD, FL
32773-7111

Practice Phone: 407-203-9492
Practice Fax:

Directions to “PREMIER DENTAL AND ORAL HEALTH GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.