Sunnybrook Dentistry

LBN: Ks2 Ms Pc
Sunnybrook Dentistry is an health care organization with primary practice located at 989 Ellis Ave , Jackson MS 39209-6256. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Ks2 Ms Pc can be contacted via phone (678) 904-5665, or through Mayfield, Dale G via phone (770) 916-5036.

Contact Information

Primary practice address
989 Ellis Ave Jackson MS 39209-6256
Phone: (678) 904-5665
Fax: (678) 904-5666
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale G Doctor of Dental Medicine (DMD)
Phone: (770) 916-5036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1689864662
LBN Legal business name Ks2 Ms Pc
DBA Doing business as Sunnybrook Dentistry
Authorized official Mayfield, Dale G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jan 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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