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Organization

WEST INDY PIPPIN DENTAL PC

Active
Other names
Pippin Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization

Contact information

Practice address
8252 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3113
(317) 352-2922
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5036
(678) 285-4760

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1223P0221X
Pediatric Dentistry

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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