MEDICARE: DR. DAVID E MASTROTA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	G10001020	DE

General Provider Information

NPI Number	:	1891045944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E MASTROTA DMD

Provider Business Mailing Address
First Line	:	2215 PENNSYLVANIA AVE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-2443
Country	:	US
Telephone Number	:	302-654-0100
Fax Number	:	302-656-3235

Provider Business Practice Location Address
First Line	:	2215 PENNSYLVANIA AVE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-2443
Country	:	US
Telephone Number	:	302-654-0100
Fax Number	:	302-656-3235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	06/16/2026

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