OrganizationActive
Mark a Mastellotto Ddspc
NPI 1588398333 · Dental Laboratory · Adrian, MI
Provider details
- NPI number
- 1588398333
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Debbie Watters, Office Manager(517) 263-0338
Specialties & taxonomies
Laboratories
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
760 Riverside Ave
Adrian, MI 49221-1445
Phone: (517) 263-0338
Fax: (517) 263-1138
Street-level locationGet directions
Mailing address
760 Riverside Ave
Adrian, MI 49221-1445
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.