Mason, Charles W

Mason, Charles W is an individual health care provider with primary practice located at 34 Bruyer Way , Kalispell MT 59901-6305. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mason, Charles W can be contacted via phone (406) 752-8686.

Contact Information

Primary practice address
34 Bruyer Way Kalispell MT 59901-6305
Phone: (406) 752-8686
Fax: (406) 752-9473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1941 Montana

Profile Details

NPI number 1013012848
LBN Legal business name Mason, Charles W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013012848 NPPES
Montana MEDICAID 112866

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