NORTH MESA DENTAL, PC


Address: 6065 Montana Ave, Suite B4 - B10, El Paso, TX 79925-1835
Phone: 6789045665

NORTH MESA DENTAL, PC (NPI# 1881873008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881873008
Entity Type Organization
Organization Name NORTH MESA DENTAL, PC
Other Organization Name PINOVA DENTAL
Practice Address 6065 Montana Ave
Suite B4 - B10
El Paso
TX 79925-1835
Mailing Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Practice Telephone 6789045665
Practice Fax Number 6789045666
Mailing Telephone 7709165028
Mailing Fax Number 6782477858
Enumeration Date 2007-10-25
Last Update Date 2019-06-17
Authorized Official Name DR. DALE G MAYFIELD (PRESIDENT)
Authorized Official Telephone 7709165036
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Kool Smiles Doing Business As Name - Organization
Pinova Dental Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437458874 North Mesa Dental, PC Dentist 3864 Hwy 64 West, Tyler, TX 75704 2011-03-24
1376842096 North Mesa Dental, PC Dentist 3840 Aldine Mail Rd, Houston, TX 77039-4644 2011-03-21
1174822118 North Mesa Dental, PC Dentist 1601 Walton Dr, Waco, TX 76705-2468 2011-03-16
1003122177 North Mesa Dental, PC Dentist 4403 Sherwood Way, San Angelo, TX 76901-5616 2010-08-26
1245560689 North Mesa Dental, PC Dentist 710 Estes Dr Ste 105, Longview, TX 75602-6120 2010-01-07
1760712335 North Mesa Dental, PC Dentist 2903 50th St, Lubbock, TX 79413-4323 2010-01-05
1003142597 North Mesa Dental, PC Dentist 6910 N Mesa St Ste C, El Paso, TX 79912-4446 2009-10-19
1568618759 North Mesa Dental, PC Dentist 1613 N West County Rd, Suite C, Odessa, TX 79763-2917 2008-08-07
1730335928 North Mesa Dental, PC Dentist 3063 S. John Redditt Drive, Lufkin, TX 75904 2008-08-07
1659548774 North Mesa Dental, PC Dentist 5130 Fairbanks Dr, El Paso, TX 79924-3813 2008-05-08

Office Location

Street Address 6065 MONTANA AVE
SUITE B4 - B10
City EL PASO
State TX
Zip Code 79925-1835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922040658 Zafer Hasan Haydar Specialist 6065 Montana Ave, Suite A2, El Paso, TX 79925-1835 2006-06-10
1861976995 Miranda Jean Castaneda Registered Nurse 6065 Montana Ave, El Paso, TX 79925-1835 2018-09-25
1457878514 Aicha Khamsi Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2017-08-29
1215457536 Nam Le Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2017-06-27
1912259631 Craig R Rainer Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2012-10-04
1871894907 Stephen Petty Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2010-11-05
1881918092 Ankur Bharat Patel Radiology 6065 Montana Ave, Suite A-6, El Paso, TX 79925-1835 2010-03-16
1861725228 Vicente Jacquez Nurse Practitioner 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 2009-09-16
1457555351 El Paso Therapy Services Inc Durable Medical Equipment & Medical Supplies 6065 Montana Ave, Suite B2, El Paso, TX 79925-1835 2007-06-13
1386708865 E.p. Premier Medical Group, P.a. Internal Medicine 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 2006-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003434820 Francisco Andres Escobar Dentist 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 2020-07-08
1982259495 Cruz Elvia Corral Assisted Living Facility 10165 Bermuda, El Paso, TX 79925 2019-08-02
1740846179 Sister Sisters In Home Care Services LLC In Home Supportive Care 9327 Sims Drive, Suite F, El Paso, TX 79925 2019-05-10
1245790450 Mario Salinas Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 2019-03-22
1720559289 Sweet Care Home Care Providers LLC PACE Provider Organization 7917 Sunmount Dr, El Paso, TX 79925 2018-12-10
1083130215 Javier Calzadilla Jr. Behavior Technician 9900 Montana Ave Ste C6, El Paso, TX 79925 2017-08-18
1942721980 Isela Cristina Sanchez Specialist/Technologist 3021 Killarney St., El Paso, TX 79925 2017-06-29
1831629617 Rebekah E Alvarez Behavior Technician 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 2017-06-14
1841646817 Imelda Barbosa Counselor 9455 Viscount 170, El Paso, TX 79925 2016-05-10
1528426491 Salnor, Inc. Clinic/Center 8517 Lockheed Dr., El Paso, TX 79925 2016-02-05
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790383206 Flores Sapien Dentistry Pllc Dentist 8889 Gateway Blvd W Ste 1100, El Paso, TX 79925-6542 2020-10-16
1033729199 Christian Diego Lepure Dentist 7598 N Mesa St Ste A, El Paso, TX 79912-3518 2020-08-04
1609494111 Pallavi Sharma Dentist 201 S Americas Ave Ste 206, El Paso, TX 79907-6915 2020-07-10
1003434820 Francisco Andres Escobar Dentist 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 2020-07-08
1356969315 Julia Kathleen Escobar Dentist 5001 N Mesa St Apt 1304, El Paso, TX 79912-5930 2020-07-07
1093330789 Access Dental of El Paso Pllc Dentist 8825 N Loop Dr Ste 126, El Paso, TX 79907-4606 2020-06-09
1912550559 John Andrew Loiselle Dentist 600 Sunland Park Dr Ste 600, El Paso, TX 79912-5115 2019-07-23
1164083309 Erica Lepure Dentist 1280 Hawkins Blvd Ste 100, El Paso, TX 79925-4949 2019-06-27
1710542196 Amanda Christine Griego Dentist 1050 Sunland Park Dr # B200, El Paso, TX 79922-1326 2019-05-01
1508328451 North Mesa Family Dental, Pllc Dentist 6135 N Mesa St Ste C, El Paso, TX 79912-4515 2019-04-01
Find all providers in EL PASO

Competitor

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City EL PASO
Zip Code 79925

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Dataset Information

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.

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