Michael Masoncup in St Charles - General Practice

Michael Masoncup - NPI 1720179229

Michael Masoncup is a General Practice in St Charles, Illinois. Michael Masoncup practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Masoncup is 1720179229. The last update date is 2007-07-08.

Michael Masoncup's current location address is 1309 W Main St, St Charles, Illinois. You can contact this provider via phone number 6305846340. The mailing address for Michael Masoncup is 1309 W Main St, St Charles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Masoncup
Address 1309 W Main St, St Charles, Illinois
Phone Number 6305846340
Fax Number
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1720179229
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1309 W Main St
City St Charles
State Illinois (IL)
Post Code 601741623
Phone Number 6305846340
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 019-15590
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.

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FAQs about Michael Masoncup

What is the Michael Masoncup's unique identification number?

The Michael Masoncup has been assigned the NPI (National Provider Identifier) Number 1720179229 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Michael Masoncup located?

The Michael Masoncup is located at 1309 W Main St, St Charles, IL 601741623.

What is Michael Masoncup's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Masoncup's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Michael Masoncup receive its 1720179229 assignment from the Centers for Medicare & Medicaid Services?

The Michael Masoncup was assigned its 1720179229 by the Centers for Medicare & Medicaid Services on 2006-09-27.

As of what date were the details pertaining to Michael Masoncup last refreshed?

The information related to the Michael Masoncup, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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