Individual provider · Type 1 NPI

Michael Masoncup, D.D.S

General Practice Dentistry · St. Charles, IL

NPI number 1720179229 Active

Practice location

1309 W Main St
St. Charles, IL 60174-1623

Mailing address

36W447 Ferson Creek Rd
St. Charles, IL 60174-1120

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019-15590 (IL)

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.

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About NPI 1720179229

Michael Masoncup, D.D.S's National Provider Identifier is 1720179229, issued on Sep 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Charles, IL. The record was last updated on Jul 8, 2007.