| Fsm Perio Llc | |
|
3174 Mack Rd Ste 1 Fairfield OH 45014-5369 | |
| (513) 870-9672 | |
| Not Available |
| Full Name | Fsm Perio Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3174 Mack Rd Ste 1, Fairfield, Ohio |
| Authorized Official Name and Position | Fadi S Masoud (MANAGER) |
| Authorized Official Contact | 5138709672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fsm Perio Llc 3174 Mack Rd Ste 1 Fairfield OH 45014-5369 Ph: (513) 870-9672 | Fsm Perio Llc 3174 Mack Rd Ste 1 Fairfield OH 45014-5369 Ph: (513) 870-9672 |
| NPI Number | 1457200800 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457200800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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