Mason'S Enhance Your Smile Dental Center, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MASON'S ENHANCE YOUR SMILE DENTAL CENTER, P.C.

Practice address

5448 Saint Barnabas Rd
Oxon Hill, MD 20745-3622

Phone

(240) 493-6030

Fax

(240) 493-7528

NPI assigned

Oct 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marian Mason, DDSNPI 1295967438

Title

Owner

Phone

(240) 493-6030

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Marian Mason, DDS

  • Dentist
  • Oxon Hill, MD
  • NPI 1295967438
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1801493655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SPRING GATE DR UNIT 4414",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 SAINT BARNABAS RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453622",
            "telephone_number": "240-493-6030",
            "fax_number": "240-493-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON'S ENHANCE YOUR SMILE DENTAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-493-6030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089458024",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585076200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy LLC
• Marian Mason, DDS
• Stacey Mason
• Theresa Mason
• Terria Matthews
• Raymar McClain, PT
• Jonathan McCone Jr., M.D.
• Emone McDowell
• Alysia Beth McGuire

• General Practice Dentistry in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.