| Burgess And Mason Dds | |
|
1105 W Wall St Grapevine TX 76051-5152 | |
| (817) 481-4717 | |
| (817) 488-8335 |
| Full Name | Burgess And Mason Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1105 W Wall St, Grapevine, Texas |
| Authorized Official Name and Position | Scott Alan Mason (OWNERPARTNER) |
| Authorized Official Contact | 8174814717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess And Mason Dds 1105 W Wall St Grapevine TX 76051-5152 Ph: (817) 481-4717 | Burgess And Mason Dds 1105 W Wall St Grapevine TX 76051-5152 Ph: (817) 481-4717 |
| NPI Number | 1396814638 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396814638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17211 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 9032 (Texas) | Secondary |
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