Goodland Dentistry
LBN: North Mesa Dental, Pc
Goodland Dentistry is an health care organization with primary practice located at 1926 E Southeast Loop 323 , Tyler TX 75701-8337. 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.
North Mesa Dental, Pc can be contacted via phone (678) 904-5665, or through Mayfield, Dale G via phone (770) 916-5036.
Contact Information
Primary practice address
1926 E Southeast Loop 323
Tyler TX 75701-8337
Phone: (678) 904-5665
Fax: (678) 904-5666
Website:
Authorized official contact:
Name: Mayfield, Dale G Doctor of Dental Medicine (DMD)
Phone: (770) 916-5036
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1356533103 |
|---|---|
| LBN Legal business name | North Mesa Dental, Pc |
| DBA Doing business as | Goodland Dentistry |
| Authorized official | Mayfield, Dale G Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Jun 17th, 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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