Organization
EAST MERRIMAC DENTAL PC
Active
Other names
Cortland Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
280 MERRIMAC ST., STE. E, METHUEN, MA 01844-6435
(978) 645-9112
Mailing address
1090 NORTHCHASE PKWY SE, STE 150, MARIETTA, GA 30067
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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