W. Main Street Dental Lewisville, Tx, P.c.
NPI #1023508819 in Lewisville, Texas
Provider Information
- NPI Number
- 1023508819
- Entity Type
- Organization
- Organization Name
- W. Main Street Dental Lewisville, Tx, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2018
- Last Updated
- May 23, 2018
Practice Location
- Address
- 724 W MAIN ST STE 316
- City
- Lewisville
- State
- Texas
- ZIP Code
- 75067
- Phone
- (469) 312-6201
Authorized Official
- Name
- DR. DALE MAYFIELD, DMD
- Title
- PRESIDENT
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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