Mason Dental Group Pc in Mason - Dentist
Mason Dental Group Pc - NPI 1104993484
Mason Dental Group Pc is a Dentist in Mason, Michigan. Mason Dental Group Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mason Dental Group Pc is 1104993484. The last update date is 2020-08-22.
Mason Dental Group Pc's current location address is 782 E Columbia Street, Mason, Michigan. You can contact this provider via phone number 5176761091 and fax number 5176764954. The mailing address for Mason Dental Group Pc is 782 E Columbia Street, Mason, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mason Dental Group Pc |
|---|---|
| Address | 782 E Columbia Street, Mason, Michigan |
| Phone Number | 5176761091 |
| Fax Number | 5176764954 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bauer Mondragon Lynn Tamara |
| Credentials | DDS |
| Telephone Number | 5176761091 |
NPI Number Detail
| NPI Number | 1104993484 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 782 E Columbia Street |
|---|---|
| City | Mason |
| State | Michigan (MI) |
| Post Code | 488541356 |
| Phone Number | 5176761091 |
| Fax Number | 5176764954 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901015785 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Mason Dental Group Pc by the Centers for Medicare & Medicaid Services?
The Mason Dental Group Pc has been assigned the NPI (National Provider Identifier) 1104993484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mason Dental Group Pc's facilities are geographically located?
The facilities of Mason Dental Group Pc are physically situated at the following location: 782 E Columbia Street, Mason, MI, 488541356.
What is Mason Dental Group Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mason Dental Group Pc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Mason Dental Group Pc receive its 1104993484?
The Mason Dental Group Pc was issued its 1104993484 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mason Dental Group Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mason Dental Group Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1982607784
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