Mason, Jodi Eve

Mason, Jodi Eve is an individual health care provider with primary practice located at 2008 Riverside Ave Suite 101, Jacksonville FL 32204-4443. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mason, Jodi Eve can be contacted via phone (904) 372-3260.

Contact Information

Primary practice address
2008 Riverside Ave Suite 101 Jacksonville FL 32204-4443
Phone: (904) 372-3260
Fax: (904) 385-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN17658 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 24122 Texas

Profile Details

NPI number 1932317922
LBN Legal business name Mason, Jodi Eve
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Feb 22nd, 2016 - about 10 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 1932317922 NPPES
Texas MEDICAID 282514301
Texas MEDICAID 076760300

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