Mason McGillicuddy, DDS
Dentist · Grand Rapids, MI
Mason McGillicuddy, DDS is a dentist with a practice address in Grand Rapids, Michigan, and NPI 1124557699, issued on Jun 8, 2017. Check the license (Michigan UNKNOWN, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mason McGillicuddy
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- UNKNOWN MI
Self-reported in NPPES; status is on the state search - Practice location
- 100 Cherry St SE, Grand Rapids, MI 49503
- Phone
- (616) 965-8200
- Enumerated
- Jun 8, 2017
- Record last updated
- Jun 8, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (616) 940-5366
- Entity
- Type 1 · individual
Also registered at 100 Cherry St SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alaa Abouabdalla, PHARMACY STUDENTPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1942705439
- Insam Alsanai, ODOptometrist1992637037
- Mallory AndersonDental Hygienist1912551219
- Iliana AriasCommunity Health Worker1437900701
- Rachel Austin, LLMSWClinical Social Worker1669718649
- Meagan Baker-Hewson, O.D.Optometrist1770899429
Verify Mason McGillicuddy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license UNKNOWNCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
63% fewer Medicare Part D claims than the average dentist in 2024
32 Medicare Part D claims for 20 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
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Common questions
What is Mason McGillicuddy, DDS's NPI number?
Mason McGillicuddy, DDS's National Provider Identifier (NPI) is 1124557699, issued on Jun 8, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Mason McGillicuddy, DDS located?
The NPPES record lists a practice address at 100 Cherry St SE, Grand Rapids, MI, 49503. Phone: (616) 965-8200. Providers update this record themselves, so call before visiting.
How can I verify Mason McGillicuddy, DDS's license?
NPPES lists Michigan license number UNKNOWN, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
How much does Mason McGillicuddy, DDS prescribe under Medicare Part D?
In 2024, Mason McGillicuddy, DDS had 32 Medicare Part D claims for 20 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.