Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES ANTHONY MASTROVICH, DDS
Deactivated Sole ProprietorDR. CHARLES ANTHONY MASTROVICH, DDS is a Dentist healthcare provider located in ESCONDIDO, California. NPI 1134277486 is deactivated in the NPPES registry. Verify at CMS.
Dentist · ESCONDIDO, CA
This NPI has been deactivated.
The record was deactivated on March 17, 2008.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1134277486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2007 (1.1967213114754 yrs)
- Last Updated
- Mar 28, 2014
- Deactivated
- Mar 17, 2008
- License
-
26090 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
911 E GRAND AVEESCONDIDO, CA, 920253434Browse CA providers · Browse ZIP 92025
- Phone
- 7607416650
- Fax
- 7607462008
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ESCONDIDO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GARY ADDISON MADISON | DDS | 1336134956 |
| PRABHPREET S KAILA | D.D.S. | 1386634053 |
| THOMAS WEST | DDS | 1043239403 |
| JULIO MONROY | DDS | 1225046766 |
| DR. BEN TOLENTINO DELA CRUZ JR. | DMD INC | 1891706297 |
| DR. BRENDAN MICHAEL DONOGHUE | D.D.S. | 1659467280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.