# MAYFIELD FAMILY & COSMETIC DENTISTRY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740319375
- **Authorized official:** DR. WILLIAM MICHAEL HASSAN DDS (OWNER MEMBER MANAGER)
- **Authorized official phone:** (518) 661-6405

## Contact information

- **Practice address:** 2540 STATE HIGHWAY 30, MAYFIELD, NY 12117
- **Practice address phone:** (518) 661-6405
- **Practice address fax:** (518) 661-7765
- **Mailing address:** PO BOX K, MAYFIELD, NY 12117
- **Mailing address phone:** (518) 661-6405
- **Mailing address fax:** (518) 661-7765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020