North Mesa Dental, PC

NPI #1356533103 in Tyler, Texas

Provider Information

NPI Number: 1356533103
Entity Type: Organization
Organization Name: North Mesa Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2007
Last Updated: Jun 17, 2019

Practice Location

Address: 1926 E SOUTHEAST LOOP 323
City: Tyler
State: Texas
ZIP Code: 75701-8337
Phone: (678) 904-5665

Authorized Official

Name: DALE G MAYFIELD, DMD
Title: PRESIDENT
Phone: (770) 916-5036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

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