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Organization

NORTH CARRIAGE DENTAL PA

Active
Find providers by NPI
Organization

NORTH CARRIAGE DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE MAYFIELD (PRESIDENT)
(770) 916-5036
Entity
Organization

Contact information

Practice address
650 N CARRIAGE PKWY STE 60, WICHITA, KS 67208-4512
(316) 686-2721
(316) 686-2744
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5036

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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