Individual provider · Type 1 NPI
Michael Ronald Mazukelli
General Practice Dentistry · Park Ridge, IL
NPI number
1386857191
Active
Practice location
954 N Northwest Hwy
Park Ridge, IL 60068-2358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1386857191
Michael Ronald Mazukelli's National Provider Identifier is 1386857191, issued on May 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Park Ridge, IL. The record was last updated on Sep 11, 2025.