| Drs. Mason & Mason | |
|
117 N Lafayette St Mount Pulaski IL 62548-1263 | |
| (217) 792-5060 | |
| Not Available |
| Full Name | Drs. Mason & Mason |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 117 N Lafayette St, Mount Pulaski, Illinois |
| Authorized Official Name and Position | Paul Mason (GENERAL PARTNER) |
| Authorized Official Contact | 2177925060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Mason & Mason 117 N Lafayette St Mount Pulaski IL 62548-1263 Ph: (217) 792-5060 | Drs. Mason & Mason 117 N Lafayette St Mount Pulaski IL 62548-1263 Ph: (217) 792-5060 |
| NPI Number | 1457497166 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457497166 | NPI | - | NPPES |
| 101290 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |