Mason, Andrea Marie
Mason, Andrea Marie is an individual health care provider with primary practice located at 4528 Maple Ln Se # 201 , Olympia WA 98501-8638. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mason, Andrea Marie can be contacted via phone (360) 352-3515.Contact Information
Primary practice address
4528 Maple Ln Se # 201
Olympia WA 98501-8638
Phone: (360) 352-3515
Fax: (360) 352-0158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DE60284724 | Washington |
Profile Details
NPI number | 1851655575 |
---|---|
LBN Legal business name | Mason, Andrea Marie |
Credentials | DDS, MSD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2012 |
Last updated | Oct 14th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851655575 | NPPES |
Washington | MEDICAID | 1053654525 |
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