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MARK A. MASTELLOTTO
NPI 1972211134
Clinic/Center in Adrian, MI

Active since November 07, 2022
760 RIVERSIDE AVE, ADRIAN, MI 49221(517) 263-0338(517) 263-1138 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A. Mastellotto NPPES

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

MARK A. MASTELLOTTO (NPI 1972211134), doing business as Mark Mastellotto Dds Pc, is a healthcare organization registered as a clinic/center in Adrian, Michigan and active in the NPI registry since November 2022. The organization lists Mark Arthur Mastellotto, Owner, as its authorized official.

NPPES Registry Identity

NPI1972211134
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARK A. MASTELLOTTO
Location Address760 RIVERSIDE AVEAdrian, MI 49221-1445
Mailing Address760 Riverside AveAdrian, MI 49221-1445 · (517) 263-0338 · Fax (517) 263-1138
Phone(517) 263-0338
Fax(517) 263-1138
Organization SubpartNo
Authorized OfficialMark Arthur MastellottoOwner · (517) 263-0338
Enumeration DateNovember 7, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1972211134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
760 RIVERSIDE AVE, Adrian, MI 49221
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Other Names 1

Doing Business AsMark Mastellotto Dds Pc

Other Identifiers 4

Other1013077601All Insurance
Other1013077601MI · All Insurance
Medicaid1013077601MI
Other1013077601MI · Dental

Other Providers at the Same Location NPPES 2

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

DR. MARK A MASTELLOTTO DDS
Dentist
760 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (517) 263-0338
MARK A MASTELLOTTO DDSPC
Dental Laboratory
760 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (517) 263-0338

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 Mark A. Mastellotto's NPI number?

The NPI number for Mark A. Mastellotto is 1972211134. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Mark Mastellotto DDS PC.

Where is Mark A. Mastellotto located?

Mark A. Mastellotto is located at 760 Riverside Ave, Adrian, MI 49221. The listed phone number is (517) 263-0338.

What is Mark A. Mastellotto's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mark A. Mastellotto was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.