Individual
DR. JODI EVE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2008 RIVERSIDE AVE, SUITE 101, JACKSONVILLE, FL 32204-4443
(904) 372-3260
(904) 385-3704
Mailing address
2008 RIVERSIDE AVE, SUITE 101, JACKSONVILLE, FL 32204-4443
(904) 372-3260
(904) 385-3704
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
24122
TX
1223P0221X
Pediatric Dentistry
Primary
DN17658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076760300
—
FL
05
—
282514301
—
TX
Enumeration date
05/21/2007
Last updated
10/09/2024
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