National Provider Identifier Database

MAYFIELD FAMILY COSMETIC DENTISTRY LLC
Dental


Contact Information

MAYFIELD FAMILY & COSMETIC DENTISTRY LLC
2540 STATE HIGHWAY 30
MAYFIELD, NY12117
Phone: 518-661-6405
Fax: 518-661-7765
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MAYFIELD FAMILY & COSMETIC DENTISTRY LLC

NPI Number 1740319375
Legal business name
LBN
MAYFIELD FAMILY & COSMETIC DENTISTRY LLC
Authorized official WILLIAM HASSAN - (OWNER MEMBER MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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