Provider Demographics
NPI:1912020702
Name:MASON, JANET R (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:R
Last Name:MASON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W.CAMPBELL ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044
Mailing Address - Country:US
Mailing Address - Phone:972-495-4300
Mailing Address - Fax:972-495-2579
Practice Address - Street 1:901 W CAMPBELL RD STE A
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2510
Practice Address - Country:US
Practice Address - Phone:972-495-4300
Practice Address - Fax:972-495-2579
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist