| Mason Dental | |
|
3906 Maccorkle Ave Se Charleston WV 25304-1633 | |
| (304) 400-4835 | |
| (304) 681-2058 |
| Full Name | Mason Dental |
|---|---|
| Speciality | Dentist |
| Location | 3906 Maccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Grant S Mason (PRESIDENT) |
| Authorized Official Contact | 3044004835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Dental 3906 Maccorkle Ave Se Charleston WV 25304-1633 Ph: (304) 400-4835 | Mason Dental 3906 Maccorkle Ave Se Charleston WV 25304-1633 Ph: (304) 400-4835 |
| NPI Number | 1215120068 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215120068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WV3235 (West Virginia) | Primary |
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