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Organization
WEST INDY PIPPIN DENTAL PC
Active
Organization
WEST INDY PIPPIN DENTAL PC
Active
Other names
Pippin Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
8252 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3113
(317) 352-2922
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5036
(678) 285-4760
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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