MAYFIELD FAMILY & COSMETIC DENTISTRY LLC; NPI #1740319375

Contact Information

MAYFIELD FAMILY & COSMETIC DENTISTRY LLC

2540 STATE HIGHWAY 30
MAYFIELD, NY 12117

Phone: 518-661-6405
Fax: 518-661-7765
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for MAYFIELD FAMILY & COSMETIC DENTISTRY LLC

NPI #	`1740319375`
LBN Legal business name	MAYFIELD FAMILY & COSMETIC DENTISTRY LLC
Authorized official	WILLIAM HASSAN - (OWNER MEMBER MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/02/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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