MASON WILLIAM MCCLINTOCK (NPI# 1346649316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346649316 |
| Entity Type | Individual |
| Full Name | MASON WILLIAM MCCLINTOCK |
| Credential | DDS, MSD |
| Practice Address |
2402 College Hills Blvd. Building 1 Building 1 San Angelo TX 76904 |
| Practice Telephone | 3259492824 |
| Mailing Telephone | 3259492824 |
| Mailing Fax Number | 3259590383 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29713 | TX | Dental Providers |
| Street Address |
2402 COLLEGE HILLS BLVD. BUILDING 1 BUILDING 1 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| 1285855338 | Marty Daniel | Pharmacist | 3520 Knickerbocker Road Suite A, San Angelo, TX 76904 | 2007-05-02 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982710018 | Raymond Reagon Noble II | Dentist | 2402 College Hills Blvd, San Angelo, TX 76904-5298 | 2006-08-22 |
| 1447366323 | Phillip D Kothmann Dds Ms Inc | Dentist | 4337 College Hills Blvd, San Angelo, TX 76904 | 2006-08-22 |
| 1528052651 | Ilene L Rees | Dentist | 3123 Green Meadow Dr, San Angelo, TX 76904 | 2005-09-05 |
| 1881904795 | Noble Orthodontics | Dentist | 2402 College Hills Blvd, San Angelo, TX 76904 | 2010-10-13 |
| 1316049851 | Omega Orthodontics | Dentist | 3123 Green Meadow Dr, San Angelo, TX 76904 | 2006-09-04 |
| 1063522357 | Raymond Reagon Noble Sr. | Dentist | 2402 College Hills Blvd, San Angelo, TX 76904-5298 | 2006-08-30 |
| 1407964810 | Ronald Lynn Knight | Dentist | 2402 College Hills Blvd, San Angelo, TX 76904-5298 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989992 | Maxwell Oldham | Dentist | 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 | 2020-10-10 |
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1700496411 | Farhana Rahman | Dentist | 398 E Pipeline Rd, Hurst, TX 76053-5831 | 2020-08-06 |
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1316556061 | Prosper Braces Pllc | Dentist | 821 N Coleman St Ste 110, Prosper, TX 75078-2305 | 2020-07-29 |
| 1871118133 | Tardy Orthodontics PC | Dentist | 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 | 2020-06-12 |
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1275155665 | Joanna Song | Dentist | 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 | 2020-05-08 |
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1740809003 | Boss Orthodontics, Pllc | Dentist | 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.