Individual
WILLIAM MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1437 OLD SQUARE RD # 105, JACKSON, MS 39211-5535
(601) 956-2000
Mailing address
4036 OAKRIDGE DR, JACKSON, MS 39216-3413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4238-21
MS
Other
Enumeration date
04/28/2020
Last updated
04/27/2022
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