NICHOLAS MASSOTH, D.M.D.
Oral and Maxillofacial Pathology Dentistry · CALDWELL, ID
Individual Active Opted out of Medicare NPI 1114957917
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | ✓ | D 3848 OS | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Oral Surgery), effective 2026-05-01 through 2028-05-01.
Other Oral and Maxillofacial Pathology Dentistry providers in Idaho
- NPI 1710184783
- NPI 1376593640
- NPI 1588868442
- NPI 1376684175
See all Oral and Maxillofacial Pathology Dentistry providers in Idaho →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.