DR MASON DMD INC NPI 1629240486

NPI Information

NPI: 1629240486
Provider Name: DR MASON DMD INC

Other Name: DR. BRENTON MASON

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

Specialization: Dental

Address:
7007 WYOMING BLVD NE
SUITE B-2
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 821-1430
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DR MASON DMD INC is a dental clinic center in Albuquerque, NM. DR MASON DMD INC NPI is 1629240486. The provider is registered as an organization entity type.
The provider Other Name Is Dr. Brenton Mason.

The provider's business location address is:

7007 WYOMING BLVD NE
SUITE B-2
ALBUQUERQUE, NM
ZIP 87109-987
Phone: (505) 821-1430
Fax: (505) 821-1442

The provider's authorized official is Brenton M Mason .
The authorized official title is President and has the following contact phone number (505) 821-1430.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.

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	DD2155	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15740	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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