Organization
ROBERT A. MASON DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A MASON DMD (DENTIST)
(479) 782-5686
Entity
Organization
Contact information
Practice address
609 S 21ST ST, FORT SMITH, AR 72901-3914
(479) 782-5686
(479) 783-7063
Mailing address
609 S 21ST ST, FORT SMITH, AR 72901-3914
(479) 782-5686
(479) 783-7063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2442
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58927
BLUE CROSS/BLUE SHIELD
AR
01
—
832815
UNITED CONCORDIA
AR
01
—
90643000040
QUAL CHOICE
AR
Enumeration date
09/22/2006
Last updated
08/22/2020
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