Organization
BURGESS AND MASON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALAN MASON DDS (OWNERPARTNER)
(817) 481-4717
Entity
Organization
Contact information
Practice address
1105 W WALL ST, GRAPEVINE, TX 76051-5152
(817) 481-4717
(817) 488-8335
Mailing address
1105 W WALL ST, GRAPEVINE, TX 76051-5152
(817) 481-4717
(817) 488-8335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17211
TX
1223G0001X
General Practice Dentistry
9032
TX
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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