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MICHAEL R. MAZUKELLI, DDS, P.C.
NPI 1235342064
Dentist - General Practice in Park Ridge, IL

Active since May 08, 2007
954 N NORTHWEST HWY, PARK RIDGE, IL 60068(847) 823-4045 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Michael R. Mazukelli, Dds, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL R. MAZUKELLI, DDS, P.C. (NPI 1235342064) is a healthcare organization registered as a general practice in Park Ridge, Illinois and active in the NPI registry since May 2007. The organization lists Michael Mazukelli, President, as its authorized official.

NPPES Registry Identity

NPI1235342064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL R. MAZUKELLI, DDS, P.C.
Location Address954 N NORTHWEST HWYPark Ridge, IL 60068-2358
Mailing Address954 N Northwest HwyPark Ridge, IL 60068-2358
Phone(847) 823-4045
Organization SubpartNo
Authorized OfficialMichael MazukelliPresident · (847) 823-4045
Enumeration DateMay 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1235342064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
954 N NORTHWEST HWY, Park Ridge, IL 60068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL RONALD MAZUKELLI
Dentist (General Practice)
954 N NORTHWEST HWY
PARK RIDGE, IL 60068
Cook County (847) 823-4045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael R. Mazukelli, Dds, P.C.'s NPI number?

The NPI number for Michael R. Mazukelli, Dds, P.C. is 1235342064. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Michael R. Mazukelli, Dds, P.C. located?

Michael R. Mazukelli, Dds, P.C. is located at 954 N Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (847) 823-4045.

What is Michael R. Mazukelli, Dds, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael R. Mazukelli, Dds, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.