Individual
DR. DALE GARY MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4324 COVINGTON HWY, DECATUR, GA 30035-1208
(404) 289-6454
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 716-1725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000907255A
—
GA
Enumeration date
09/04/2006
Last updated
03/19/2018
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