Scott Mason DDS

Organization Active NPI Dentist · Ava, MO

NPI 1083829147 · NPPES record last updated Aug 5, 2008

Key facts

NPI
1083829147
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
013438 (MO)
Legal business name
SCOTT MASON DDS
Practice address
132 W Washington
Box 1058
Ava, MO 65608
Phone
(417) 683-3636
Fax
(417) 683-6118
NPI assigned
May 11, 2007
Organization subpart
No

Authorized official

Name
Scott C Mason, DDS
Title
Poprietor, Owner, Operator
Phone
(417) 683-3636

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

132 W Washington Ave
#1058
Ava, MO 65608
Phone (417) 683-3636

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 013438 MO Yes

Addresses

Primary practice location

132 W Washington
Box 1058
Ava, MO 65608

Mailing address

132 W Washington
PO Box 1058
Ava, MO 65608
Phone (417) 683-3636

Other providers in Ava, MO

All providers in Ava, MO · Dentist in Missouri

Sources for this page

Verify at the official NPI Registry.