North Mesa Dental, PC

NPI #1528256203 in Longview, Texas

Provider Information

NPI Number: 1528256203
Entity Type: Organization
Organization Name: North Mesa Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 9, 2007
Last Updated: Feb 3, 2022

Practice Location

Address: 2539 JUDSON RD
City: Longview
State: Texas
ZIP Code: 75605-4643
Phone: (678) 904-5665

Authorized Official

Name: DR. 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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