Organization
EAST 22ND STREET DENTAL, P.C.
Active
Other names
Dorsett Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE GARY MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
5504 E 22ND ST, SUITE 140, TUCSON, AZ 85711
(678) 904-5665
(678) 904-5666
Mailing address
210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/14/2007
Last updated
04/24/2026
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