Individual provider · Type 1 NPI

John Mazzocco, DDS

Periodontics · St. Charles, IL

NPI number 1396511291 Active

Practice location

525 Tyler Rd
St. Charles, IL 60174-3305

Call (630) 377-4677 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X019.036975 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1396511291

John Mazzocco, DDS's National Provider Identifier is 1396511291, issued on Nov 30, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Charles, IL. The record was last updated on Jul 27, 2026.