Provider Demographics
NPI:1144570938
Name:MASCARENHAS, JULES LUKE (BDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:JULES
Middle Name:LUKE
Last Name:MASCARENHAS
Suffix:
Gender:M
Credentials:BDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 E ATHENA AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-8132
Mailing Address - Country:US
Mailing Address - Phone:623-703-4619
Mailing Address - Fax:
Practice Address - Street 1:2880 E GERMANN RD STE 13
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1410
Practice Address - Country:US
Practice Address - Phone:480-821-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND117311223P0300X
AZD0105101223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics