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

Michael Masterson

Individual provider Dentist · NPI 1629525258

Michael Masterson is a Dentist in Crystal River, Florida. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2016

Practice location Address checks out

1815 SE US Highway 19
Crystal River, FL 34429-9065
Phone: (352) 795-1223
Fax: (352) 795-1637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61217 (KS)

Record details

NPI number1629525258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address1815 Se Us Highway 19, Crystal River, FL 34429-9065

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