Individual provider · Type 1 NPI

Mason McGillicuddy, DDS

Dentist · Grand Rapids, MI

NPI number 1124557699 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Fax (616) 940-5366

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	UNKNOWN (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124557699

Mason McGillicuddy, DDS's National Provider Identifier is 1124557699, issued on Jun 8, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 8, 2017.