Organization
MAYATTE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. SHAUN MAYATTE DMD (OWNER)
(601) 825-1105
Entity
Organization
Contact information
Practice address
22 EASTGATE DR, BRANDON, MS 39042-2318
(601) 825-1105
(601) 825-1984
Mailing address
22 EASTGATE DR, BRANDON, MS 39042-2318
(601) 825-1105
(601) 825-1984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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