| Mark A. Mastellotto | |
|
760 Riverside Ave Adrian MI 49221-1445 | |
| (517) 263-0338 | |
| (517) 263-1138 |
| Full Name | Mark A. Mastellotto |
|---|---|
| Speciality | Clinic/center |
| Location | 760 Riverside Ave, Adrian, Michigan |
| Authorized Official Name and Position | Mark Arthur Mastellotto (OWNER) |
| Authorized Official Contact | 5172630338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Mastellotto 760 Riverside Ave Adrian MI 49221-1445 Ph: (517) 263-0338 | Mark A. Mastellotto 760 Riverside Ave Adrian MI 49221-1445 Ph: (517) 263-0338 |
| NPI Number | 1972211134 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972211134 | NPI | - | NPPES |
| 1013077601 | Other | ALL INSURANCE | |
| 1013077601 | Other | MI | ALL INSURANCE |
| 1013077601 | Medicaid | MI | |
| 1013077601 | Other | MI | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
First Dental Management Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Front St, Adrian, MI 49221 Phone: 517-263-3400 Fax: 517-263-4027 | |
John A Lark Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Country Club Rd, Suite B, Adrian, MI 49221 Phone: 517-263-9022 Fax: 517-263-9155 | |
Michael P Towler Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 | |
Gary A Blaesing Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1548 W Maumee, Suite A, Adrian, MI 49221 Phone: 517-265-7288 Fax: 517-266-8408 | |
Laura Aversano Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3142 N Adrian Hwy, Adrian, MI 49221 Phone: 517-263-6100 | |
Michigan Dental Associates - Adrian Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Winter St, Adrian, MI 49221 Phone: 734-234-6066 | |
Richard B. Youngs,dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 |