Organization
JONATHAN E MASON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING MANAGER)
(612) 859-0444
Entity
Organization
Contact information
Practice address
23 CASTLETON MEADOWS LN, CASTLETON, VT 05735-9011
(802) 468-5478
Mailing address
PO BOX 1190, CASTLETON, VT 05735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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