National Provider Identifier
John Michael Masterson Jr., DMD
John Michael Masterson Jr., DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Palmyra, NY and a listed phone number of (315) 597-4581.
Profile Overview
- NPI
- 1184767873
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- February 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 402 W Main St
- Palmyra, NY 14522-1004
Phone: (315) 597-4581
Mailing Address
- 45 Waterford Way
- Fairport, NY 14450-9750
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1184767873
- Entity Type
- Individual
- Last Name
- Masterson
- First Name
- John
- Middle Name
- Michael
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- DMD
- Mailing Street Address
- 45 Waterford Way
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9750
- Mailing Country
- US
- Mailing Phone
- (585) 223-3149
- Practice Street Address
- 402 W Main St
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1004
- Practice Country
- US
- Practice Phone
- (315) 597-4581
- Enumeration Date
- February 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)