| NPI Details | |
|---|---|
| NPI | 1396814638 |
| Enumeration Date | 11/08/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | SCOTT ALAN SCOTT |
| Position | OWNERPARTNER |
| Phone | (817) 481-4717 |
| Fax | (817) 488-8335 |
| Practice Location | |
|---|---|
| 1105 W WALL ST GRAPEVINE TX, 76051-5152, US |
|
| Phone | (817) 481-4717 |
| Fax | (817) 488-8335 |
| Business Location | |
|---|---|
| 1105 W WALL ST GRAPEVINE TX, 76051-5152, US |
|
| Phone | (817) 481-4717 |
| Fax | (817) 488-8335 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | Texas |
| License Number | 9032 |
| Remove 1396814638 NPI Number | |
According to our database, Burgess And Mason Dds NPI is 1396814638, taxonomy code is 1223G0001X and license number is 9032, license state is located at Texas. Burgess And Mason Dds physically located at 1105 W Wall St, Grapevine TX, 76051-5152. NPI Number 1033115704 has the healthcare provider type.
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1396814638 NPI number is provided on an as is basis without warranty of any kind. 1396814638 is maintained by the National Plan & Provider Enumeration System. The contents of Burgess And Mason Dds are for informational purposes only.
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