MASON FAMILY DENTISTRY P.C. NPI 1124130554

NPI Information

NPI: 1124130554
Provider Name: MASON FAMILY DENTISTRY, P.C.

Former Legal Business Name: JAMES L. PETERS, DDS, FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
624 S CEDAR ST
SUITE 100
MASON, MI
ZIP 48854
Phone: (517) 676-3770
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MASON FAMILY DENTISTRY, P.C. is a dental clinic center in Mason, MI. MASON FAMILY DENTISTRY, P.C. NPI is 1124130554. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is James L. Peters, Dds, Family Dentistry.

The provider's business location address is:

624 S CEDAR ST
SUITE 100
MASON, MI
ZIP 48854-589
Phone: (517) 676-3770
Fax: (517) 676-3771

The provider's authorized official is James Lance Peters .
The authorized official title is President and has the following contact phone number (517) 676-3770.

The enumeration date for this NPI number is 8/31/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	17763	MICHIGAN	Yes

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: 5/5/2024

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