Provider Demographics
NPI:1275328437
Name:MASON SAWYER DMD LLC
Entity type:Organization
Organization Name:MASON SAWYER DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASON
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-326-0397
Mailing Address - Street 1:7199 HIGHWAY 441 N
Mailing Address - Street 2:
Mailing Address - City:DILLARD
Mailing Address - State:GA
Mailing Address - Zip Code:30537-2261
Mailing Address - Country:US
Mailing Address - Phone:706-746-5577
Mailing Address - Fax:
Practice Address - Street 1:7199 HIGHWAY 441 N
Practice Address - Street 2:
Practice Address - City:DILLARD
Practice Address - State:GA
Practice Address - Zip Code:30537-2261
Practice Address - Country:US
Practice Address - Phone:706-746-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental