Individual
DR. SAMUEL BOWEN MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4341 GAUTIER VANCLEAVE RD, SUITE 3, GAUTIER, MS 39553-4825
(228) 497-9844
(228) 497-9499
Mailing address
4341 GAUTIER VANCLEAVE RD, SUITE 3, GAUTIER, MS 39553-4825
(228) 497-9844
(228) 497-9499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0-31-71
MS
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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