Goodland Dentistry

LBN: North Mesa Dental, Pc
Goodland Dentistry is an health care organization with primary practice located at 3864 Hwy 64 West , Tyler TX 75704. 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 via phone (770) 916-5036.

Contact Information

Primary practice address
3864 Hwy 64 West Tyler TX 75704
Phone: (678) 904-5665
Fax: (678) 904-5666
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale 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 1437458874
LBN Legal business name North Mesa Dental, Pc
DBA Doing business as Goodland Dentistry
Authorized official Mayfield, Dale Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2011
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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