North Mesa Dental, Pc in Marietta - Endodontics
North Mesa Dental, Pc - NPI 1154500379
North Mesa Dental, Pc is a Endodontics in Marietta, Georgia. North Mesa Dental, Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for North Mesa Dental, Pc is 1154500379. The last update date is 2019-06-17.
North Mesa Dental, Pc's current location address is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. You can contact this provider via phone number 7709165028 and fax number 6782477858. The mailing address for North Mesa Dental, Pc is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Mesa Dental, Pc |
|---|---|
| Address | 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mayfield G Dale |
| Credentials | DMD |
| Telephone Number | 7709165036 |
NPI Number Detail
| NPI Number | 1154500379 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2019-06-17 |
Provider Mailing Address Detail
| Address | 1090 Northchase Pkwy Se Ste 150 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300676407 |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
|
Post Comment/ Review Below
What is the North Mesa Dental, Pc's unique identification number?
The North Mesa Dental, Pc has been assigned the NPI (National Provider Identifier) Number 1154500379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the North Mesa Dental, Pc's physical address?
The North Mesa Dental, Pc is physically located at 1090 Northchase Pkwy Se Ste 150, in the city of Marietta, GA, with the postal code 300676407.
What is North Mesa Dental, Pc's area of expertise and its corresponding taxonomy classification?
The North Mesa Dental, Pc's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1154500379 to North Mesa Dental, Pc?
The North Mesa Dental, Pc received its 1154500379 assignment from the Centers for Medicare & Medicaid Services on 2007-10-25.
When was the information related to North Mesa Dental, Pc most recently updated or refreshed?
The details pertaining to the North Mesa Dental, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-17.