# FOX PLAZA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buena Vista Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588947212
- **Authorized official:** DALE MAYFIELD DMD (PRESIDENT)
- **Authorized official phone:** (770) 916-5028

## Contact information

- **Practice address:** 5561 ALAMEDA AVE STE B, EL PASO, TX 79905-2915
- **Practice address phone:** (800) 920-9947
- **Mailing address:** 1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 12/19/2014