Individual
DR. MARY ANN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5011 GOVERNMENT BLVD, MOBILE, AL 36693-5029
(251) 661-3420
(251) 661-3430
Mailing address
1634 PARKMOOR CT, MOBILE, AL 36695-4385
(251) 639-9621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5258
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1519096
UNITED CONCORDIA
AL
01
—
379328
BCBS OF KANSAS
AL
01
—
51501638
BCBS OF AL
AL
Enumeration date
11/15/2006
Last updated
07/08/2007
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