Individual
DR. JOHN MORGAN MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
516 W 35TH ST # 1, DAVENPORT, IA 52806-5821
(563) 391-6245
Mailing address
516 W 35TH ST # 1, DAVENPORT, IA 52806-5821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6031
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098616
—
IA
Enumeration date
07/24/2006
Last updated
07/08/2007
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