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MAYFIELD DMD PC NPI 1053572008


NPI Information

NPI: 1053572008
Provider Name: MAYFIELD DMD, PC

Doing Business As: KOOL SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
524 E FRANCIS AVE
SPOKANE, WA
ZIP 99208
Phone: (509) 590-2421
Get Directions

MAYFIELD DMD, PC is a general practice dentist in Spokane, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MAYFIELD DMD, PC NPI is 1053572008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kool Smiles.

The provider's business location address is:

524 E FRANCIS AVE
SPOKANE, WA
ZIP 99208-038
Phone: (509) 590-2421

The provider's authorized official is Dale G Mayfield .
The authorized official title is President and has the following contact phone number (770) 916-5028.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 3/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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