Michael Masoncup, D.D.S

General Practice Dentistry · St Charles, IL

Individual Active NPI

NPI number 1720179229

Practice location

1309 W Main St
St Charles, IL 60174-1623
Phone
(630) 584-6340

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NPI record

NPI
1720179229
Entity type
Individual (Type 1)
Enumeration date
September 27, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019-15590 IL

Mailing address

36w447 Ferson Creek Rd
St Charles, IL 60174-1120
Phone
(630) 584-4617

About Dr. Masoncup

Michael Masoncup, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1309 W Main St, St Charles, IL 60174-1623. The NPI number 1720179229 was assigned on September 27, 2006 and the record was last updated on July 8, 2007.

Dr. Masoncup lists a license in the registry: #019-15590 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Masoncup, D.D.S?

The NPI number is 1720179229.

What is the phone number of Dr. Masoncup?

The phone number listed for the practice location is (630) 584-6340.

Where is Dr. Masoncup located?

1309 W Main St, St Charles, IL 60174-1623.

What is the taxonomy code for Dr. Masoncup?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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