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MASON DENTAL GROUP PC NPI 1104993484


NPI Information

NPI: 1104993484
Provider Name: MASON DENTAL GROUP PC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
782 E COLUMBIA STREET
MASON, MI
ZIP 48854
Phone: (517) 676-1091
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MASON DENTAL GROUP PC is a dentist in Mason, MI. The provider is 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. MASON DENTAL GROUP PC NPI is 1104993484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

782 E COLUMBIA STREET
MASON, MI
ZIP 48854-356
Phone: (517) 676-1091
Fax: (517) 676-4954

The provider's authorized official is Tamara Lynn Bauer Mondragon .
The authorized official title is President Owner and has the following contact phone number (517) 676-1091.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist2901015785MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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