Individual
MASON PLOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4178
Mailing address
2404 FIELDS SOUTH DR APT 204, CHAMPAIGN, IL 61822-3683
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
018.002272
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
06/07/2024
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