Mastroianni, Jeffrey Scott
Mastroianni, Jeffrey Scott is an individual health care provider with primary practice located at 2220 S. State Route 157 Suite 125, Glen Carbon IL 62034-1728. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mastroianni, Jeffrey Scott can be contacted via phone (618) 288-0600.Contact Information
Primary practice address
2220 S. State Route 157 Suite 125
Glen Carbon IL 62034-1728
Phone: (618) 288-0600
Fax: (618) 288-8004
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021002018 | Illinois |
Profile Details
NPI number | 1326147489 |
---|---|
LBN Legal business name | Mastroianni, Jeffrey Scott |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2006 |
Last updated | Oct 24th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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