Michael Masterson

Dentist · Crystal River, FL

Individual Active NPI

NPI number 1629525258

Practice location

1815 SE Us Highway 19
Crystal River, FL 34429-9065
Phone
(352) 795-1223
Fax
(352) 795-1637

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NPI record

NPI
1629525258
Entity type
Individual (Type 1)
Enumeration date
September 1, 2016
Last updated
May 26, 2022
Certified
May 26, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 61217 KS

About Michael Masterson

Michael Masterson is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1815 SE Us Highway 19, Crystal River, FL 34429-9065. The NPI number 1629525258 was assigned on September 1, 2016 and the record was last updated on May 26, 2022.

Michael Masterson lists a license in the registry: #61217 (KS) 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 Michael Masterson?

The NPI number is 1629525258.

What is the phone number of Michael Masterson?

The phone number listed for the practice location is (352) 795-1223.

Where is Michael Masterson located?

1815 SE Us Highway 19, Crystal River, FL 34429-9065.

What is the taxonomy code for Michael Masterson?

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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