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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN CONRAD MASTRUD, D.D.S.

Active Sole Proprietor

DR. JOHN CONRAD MASTRUD, D.D.S. is a Dentist healthcare provider located in LEMONT, Illinois. NPI 1366577652 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEMONT, IL

Registration Details

NPI Number
1366577652
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2007 (19.446260041014 yrs)
Last Updated
Oct 21, 2014
License
019-023242 (IL)
Sole Proprietor
Yes

Practice Information

Address
15947 W 127TH ST
SUITE H
LEMONT, IL, 604397421
Browse IL providers · Browse ZIP 60439
Phone
6302572133
Fax
6302572146
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEMONT, IL

Name Credential NPI
DR. KATHLEEN WEGNER BARTO D.D.S. 1134135320
LAWRENCE A TOMAZIN JR. 1356413116
DR. KENNETH M STOFFEL 1477625242
MR. XHELO SKENDER SHUAIPAJ DDS 1427111665
DR. JENNIFER L. SPLITT-KRULL DDS 1972768935
DR. BEATA DEDEROWSKI D.M.D. 1265662423
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.