Mason Family Dentistry, P.C.
Clinic/Center, Dental in Mason, MI. Organization (NPI-2).
NPI number1124130554
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124130554
- Entity type
- Organization (NPI-2)
- Legal business name
- Mason Family Dentistry, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 17763 | MI | Yes |
Other names
- James L. Peters, DDS, Family Dentistry (Former Legal Business Name)
Practice location
624 S Cedar StSuite 100
Mason, MI 48854-1589
Phone 517-676-3770 · Fax 517-676-3771
Mailing address
624 S Cedar StSuite 100
Mason, MI 48854-1589
Phone 517-676-3770 · Fax 517-676-3771
Authorized official
James Lance Peters
President
5176763770
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