| Mayfield Family & Cosmetic Dentistry Llc | |
|
2540 State Highway 30 Mayfield NY 12117 | |
| (518) 661-6405 | |
| (518) 661-7765 |
| Full Name | Mayfield Family & Cosmetic Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2540 State Highway 30, Mayfield, New York |
| Authorized Official Name and Position | William Michael Hassan (OWNER MEMBER MANAGER) |
| Authorized Official Contact | 5186616405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfield Family & Cosmetic Dentistry Llc Po Box K Mayfield NY 12117 Ph: (518) 661-6405 | Mayfield Family & Cosmetic Dentistry Llc 2540 State Highway 30 Mayfield NY 12117 Ph: (518) 661-6405 |
| NPI Number | 1740319375 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740319375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |