# J. MASON & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vineland Dental Centre
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588105696
- **Authorized official:** DR. JOHN MASON JR. DMD (OWNER)
- **Authorized official phone:** (502) 636-5492

## Contact information

- **Practice address:** 100 VINELAND CENTRE DR, SUITE 17, VINE GROVE, KY 40175-8430
- **Practice address phone:** (270) 877-2902
- **Practice address fax:** (270) 877-2903
- **Mailing address:** 100 VINELAND CENTRE DR, SUITE 17, VINE GROVE, KY 40175-8430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6309 | KY | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017