Mark A. Mastellotto

LBN: Mark A. Mastellotto
Mark A. Mastellotto is an health care organization with primary practice located at 760 Riverside Ave , Adrian MI 49221-1445. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Mark A. Mastellotto can be contacted via phone (517) 263-0338, or through Mastellotto, Mark Arthur via phone (517) 263-0338.

Contact Information

Primary practice address
760 Riverside Ave Adrian MI 49221-1445
Phone: (517) 263-0338
Fax: (517) 263-1138
Website:
Map and Directions
Authorized official contact:
Name: Mastellotto, Mark Arthur Doctor of Dental Surgery (DDS)
Phone: (517) 263-0338

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1972211134
LBN Legal business name Mark A. Mastellotto
DBA Doing business as
Authorized official Mastellotto, Mark Arthur Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972211134 NPPES
Other 1013077601 ALL INSURANCE
Other 1013077601 ALL INSURANCE
MEDICAID 1013077601 ALL INSURANCE
Other 1013077601 ALL INSURANCE

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