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General NPI Number Information
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NPI Number | 1770706012
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH M. MAHON, P.A.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8219 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3355
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Country | US
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Telephone | 210-614-3332
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Fax | 210-614-3334
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Provider Business Mailing Address
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Address Line | 8219 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3355
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Country | US
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Telephone | 210-614-3332
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Fax | 210-614-3334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEPH MICHAEL MAHON
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Credential | BDENTSC
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Telephone | 210-614-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 19466
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 19465
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21951
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License Number State | TX
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