Healthcare Provider Details

I. General information

NPI: 1295423754
Provider Name (Legal Business Name): K & H MASON PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 LOWELL AVE
BURLINGTON CO
80807-1633
US

IV. Provider business mailing address

48548 SNEAD DR
BURLINGTON CO
80807-9036
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-7746
  • Fax:
Mailing address:
  • Phone: 785-764-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLE CYRUS MASON
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 785-764-0085