| Kool Smiles | |
|
1300 El Paseo Rd Las Cruces NM 88001-6024 | |
| (678) 904-5665 | |
| (678) 904-5666 |
| Full Name | Kool Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 El Paseo Rd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Dale G Mayfield (OWNER) |
| Authorized Official Contact | 7709165028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Smiles 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5028 | Kool Smiles 1300 El Paseo Rd Las Cruces NM 88001-6024 Ph: (678) 904-5665 |
| NPI Number | 1457530594 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457530594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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