MAYFIELD DMD, PC (NPI# 1467608653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467608653 |
| Entity Type | Organization |
| Organization Name | MAYFIELD DMD, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
7809 Ne Vancouver Plaza Dr Unit B-210 Vancouver WA 98662-6624 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 3604500075 |
| Practice Fax Number | 6789045666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | DALE G MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063661338 | Mayfield Dmd, PC | Dentist | 8104 Evergreen Way, Suite B, Mailbox 3, Everett, WA 98203-6419 | 2008-09-11 |
| 1053572008 | Mayfield Dmd, PC | Dentist | 524 E Francis Ave, Spokane, WA 99208-1038 | 2008-06-23 |
| Street Address |
7809 NE VANCOUVER PLAZA DR UNIT B-210 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394998 | Samuel West Baynes IIi | Pharmacist | 7809 Ne Vancouver Plaza Dr, Vancouver, WA 98662-6643 | 2017-09-07 |
| 1164838603 | Dawn Cumpton | Pharmacist | 7809 Ne Vancouver Plaza Dr, Vancouver, WA 98662-6643 | 2014-07-04 |
| 1124464706 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 7809 Ne Vancouver Plaza Dr, Vancouver, WA 98662-6643 | 2013-05-22 |
| 1457797532 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7809 Ne Vancouver Plaza Dr, Vancouver, WA 98662-6643 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565672 | Gideon Michael Arnett | Dentist | 811 Ne 112th Ave Ste 100, Vancouver, WA 98684-5115 | 2020-07-14 |
| 1144787342 | Alfordable Dental,llc | Dentist | 13720 Ne 28th St Ste A, Vancouver, WA 98682-8289 | 2019-02-23 |
| 1184139933 | Lalee Chialong Lo | Dentist | 918 Se 164th Ave Ste 200, Vancouver, WA 98683-9603 | 2017-12-01 |
| 1861918872 | Lara Kacherian | Dentist | 8720 Ne Centerpointe Dr Ste 221, Vancouver, WA 98665-1162 | 2017-08-21 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1154874196 | Monica Calderon, Dmd Ps | Dentist | 2501 Ne 134th St Ste 202, Vancouver, WA 98686-3028 | 2016-07-26 |
| 1043665375 | Garden City Dental | Dentist | 8311 Ne Highway 99 Ste E, Vancouver, WA 98665-8877 | 2016-04-23 |
| 1033465018 | Julia Gourley | Dentist | 13510 Ne 84th St Ste 105, Vancouver, WA 98682-3092 | 2012-07-27 |
| 1306103106 | Lenna Jeanne Ostenson | Dentist | 2702 Ne 78th St Ste 104, Vancouver, WA 98665-0664 | 2012-04-18 |
| 1376814178 | Dane Andersen | Dentist | 2415 Ne 134th St Ste 307, Vancouver, WA 98686-3029 | 2012-01-25 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.