Louis L Mason, DDS
Individual provider Active NPI General Practice Dentistry · Port Allen, LA
NPI 1598893976 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598893976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3501 (LA)
- Practice address
- 260 S Alexander Ave
Port Allen, LA 70767-3016 - Phone
- (225) 346-1776
- Fax
- (225) 706-1567
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Dental Care, Dr. Louis L Mason DDS LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3501 | LA | Yes |
Addresses
Primary practice location
260 S Alexander Ave
Port Allen, LA 70767-3016
Mailing address
260 S Alexander Ave
Port Allen, LA 70767
Phone (225) 346-1776
Other providers in Port Allen, LA
- Louisiana Urgent Care LLC
- Shaquill Mack
- Kyle Mancuso
- Haley Hebert Marcantel
- Montrell Latrae Martin-Duhe
- Amy McClinton-Smith
- Medical Care Transportation Group LLC
- Kalina Mercier
- Deirdra Miles
- Krista Marie Miller
All providers in Port Allen, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.