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 |
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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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