Provider Demographics
NPI:1457331753
Name:MASCIO, CHRISTPHER JOHN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTPHER
Middle Name:JOHN
Last Name:MASCIO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-8532
Mailing Address - Country:US
Mailing Address - Phone:724-729-4017
Mailing Address - Fax:724-729-1002
Practice Address - Street 1:232 MARILYN LN
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:WV
Practice Address - Zip Code:26047-1510
Practice Address - Country:US
Practice Address - Phone:304-797-1568
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-028798-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice