IndividualActive
Wayne Mason, DDS
NPI 1356411664 · Prosthodontics · Libertyville, IL
Provider details
- NPI number
- 1356411664
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19A-13406 (IL)
Specialties & taxonomies
Dental Providers
Practice location
915 N Milwaukee Ave
Ste C
Libertyville, IL 60048-1973
Phone: (847) 680-3090
Approximate (ZIP-level) locationGet directions
Mailing address
915 N Milwaukee Ave
Libertyville, IL 60048-1973
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.