Mark A. Mastellotto, DDS

Dentist · Adrian, MI

Individual Active NPI

NPI number 1013077601

Practice location

760 Riverside Ave
Adrian, MI 49221-1445
Phone
(517) 263-0338
Fax
(517) 263-1138

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NPI record

NPI
1013077601
Entity type
Individual (Type 1)
Enumeration date
December 12, 2006
Last updated
January 20, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 17762 MI

About Dr. Mastellotto

Mark A. Mastellotto, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 760 Riverside Ave, Adrian, MI 49221-1445. The NPI number 1013077601 was assigned on December 12, 2006 and the record was last updated on January 20, 2012.

Dr. Mastellotto lists a license in the registry: #17762 (MI) 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 Mark A. Mastellotto, DDS?

The NPI number is 1013077601.

What is the phone number of Dr. Mastellotto?

The phone number listed for the practice location is (517) 263-0338.

Where is Dr. Mastellotto located?

760 Riverside Ave, Adrian, MI 49221-1445.

What is the taxonomy code for Dr. Mastellotto?

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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