Dr Mason Copeland Liles, DDS is a
Dentist - General Practice based in Mangham, Louisiana. Dr Mason Copeland Liles is licensed to practice in Louisiana (license number 7199) and his current practice location is
4279 Highway 15, Mangham, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 248-4986.
NPI number for Dr Mason Copeland Liles is 1477127488 and his current mailing address is 201 Medalist Rd, Monroe, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477127488.
Healthcare Provider's Profile
Full Name | Dr Mason Copeland Liles |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 4279 Highway 15, Mangham, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477127488
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 05/14/2021
Medical Identifiers
Medical identifiers for Dr Mason Copeland Liles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477127488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7199 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mason Copeland Liles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mason Copeland Liles, DDS 201 Medalist Rd, Monroe, LA 71203-8150 Ph: (318) 614-5251 | Dr Mason Copeland Liles, DDS 4279 Highway 15, Mangham, LA 71259-5189 Ph: (318) 248-4986 |
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