MASON FAMILY DENTISTRY, P.C. (NPI# 1124130554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124130554 |
| Entity Type | Organization |
| Organization Name | MASON FAMILY DENTISTRY, P.C. |
| Other Organization Name | JAMES L. PETERS, DDS, FAMILY DENTISTRY |
| Practice Address |
624 S Cedar St Suite 100 Mason MI 48854-1589 |
| Practice Telephone | 5176763770 |
| Practice Fax Number | 5176763771 |
| Mailing Telephone | 5176763770 |
| Mailing Fax Number | 5176763771 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES LANCE PETERS (PRESIDENT) |
| Authorized Official Telephone | 5176763770 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
17763 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| James L. Peters, DDS, Family Dentistry | Former Legal Business Name - Organization |
| Street Address |
624 S CEDAR ST SUITE 100 |
| City | MASON |
| State | MI |
| Zip Code | 48854-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619171352 | James Lance Peters | Dentist | 624 S Cedar St, Suite 100, Mason, MI 48854-1589 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487152799 | Comfort Dental Inc- Hamidreza Madani Dmd | Clinic/Center | 6408 Thornberry Ct Ste 120, Mason, OH 45040-7841 | 2018-02-01 |
| 1760862635 | Kempeinen Dentistry, P.C. | Clinic/Center | 1103 S Cedar St, Suite 100, Mason, MI 48854-2081 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.