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Organization
NORTH MESA DENTAL, PC
Active
Organization
NORTH MESA DENTAL, PC
Active
Other names
Goodland Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
3864 HWY 64 WEST, TYLER, TX 75704
(678) 904-5665
(678) 904-5666
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/24/2011
Last updated
06/17/2019
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