Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael R. Mazukelli, DDS, PC

Organization Dentist · NPI 1235342064

Michael R. Mazukelli, DDS, PC is a Dentist in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

954 N Northwest Hwy
Park Ridge, IL 60068-2358
Phone: (847) 823-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)
Dentist Taxonomy 122300000X (IL)

Record details

NPI number1235342064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mazukelli — President · (847) 823-4045
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address954 N Northwest Hwy, Park Ridge, IL 60068-2358

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