Mason, Carle Woodruff

Mason, Carle Woodruff is an sole proprietor health care provider with primary practice located at 603 Nash St. W , Wilson NC 27893-3059. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mason, Carle Woodruff can be contacted via phone (252) 291-6313.

Contact Information

Primary practice address
603 Nash St. W Wilson NC 27893-3059
Fax: (252) 291-0391
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3115 North Carolina

Profile Details

NPI number 1912910233
LBN Legal business name Mason, Carle Woodruff
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1912910233 NPPES
North Carolina MEDICAID 89-95485

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