MD Mark E Mason, NPI 1255414272
Oral & Maxillofacial Surgery (D.M.D.) in Southlake, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255414272
NPI Entity Type Individual
Provider Name MD Mark E Mason
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 900 E Southlake Blvd, Ste 100, Southlake, TX, US
Provider Mailing Address 900 E Southlake Blvd, Ste 100, Southlake, TX, US, 760926375
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

204E00000X

Taxonomy Name Oral & Maxillofacial Surgery (D.M.D.)
Classification

Oral & Maxillofacial Surgery

Group

Allopathic & Osteopathic Physicians

License No. J4330
License State TX
Description Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Business Address

MD Mark E Mason
900 E Southlake Blvd
Ste 100

Southlake, TX, US

Phone: 817-442-8900
Fax: 817-488-2490

Mailing Address

MD Mark E Mason
900 E Southlake Blvd
Ste 100
Southlake, TX, US
ZIP 760926375
Phone: 817-442-8900
Fax: 817-488-2490

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208200000X

Allopathic & Osteopathic Physicians

Plastic Surgery

J4330 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
095081802 TX MEDICAID 05
7979112 TX AETNA PIN 01
104535302 TX MEDICAID 05
118704100 TX FIRSTCARE PIN 01
1210606 TX FIRSTHEALTH PIN 01
10028366 TX AMERIGROUP PIN 01
124156 TX SUPERIOR PIN 01

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Organization

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