DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KS AZ-1, PC

MEDICARE: KS AZ-1, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics
21223S0112XOral and Maxillofacial Surgery (Dentist)
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1588759161
Entity Type Code : Organization
Provider Name (Legal Business Name) : KS AZ-1, PC
Provider Business Mailing Address
First Line : 1090 NORTHCHASE PKWY SE STE 150
Second Line :
City : MARIETTA
State : GA
Zip : 30067-6407
Country : US
Telephone Number : 770-916-5028
Fax Number : 678-247-7858
Provider Business Practice Location Address
First Line : 3554 W GLENDALE AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-8358
Country : US
Telephone Number : 602-233-5665
Fax Number : 602-233-5666
Authorized Official
Title or Position : PRESIDENT
Name : DR. DALE MAYFIELD
Credential : DMD
Telephone Number : 770-916-5028
Provider Enumeration Date : 10/03/2006
Last Update Date : 12/17/2014

Similar Medicare Providers

1194856955 — DR. TIMOTHY MANNING DMD
Practice Location Address:
3554 W GLENDALE AVE
PHOENIX, AZ
85051-8358
Practice Phone: 602-233-5665
Practice Fax:
1932346897 — DR. MICHAEL VINCENT WALL D.D.S.
Practice Location Address:
3552 W GLENDALE AVE , STE. B
PHOENIX, AZ
85051-8358
Practice Phone: 602-888-7844
Practice Fax:
1770927410 — GENERAL DENTISTRY 4 KIDS-GLENDALE PLLC
Practice Location Address:
3554 W GLENDALE AVE
PHOENIX, AZ
85051-8358
Practice Phone: 602-888-7844
Practice Fax: 602-841-0426
1578995403 — SMILE STRAIGHT ORTHODONTICS-AZ PLLC
Practice Location Address:
3552 W GLENDALE AVE
PHOENIX, AZ
85051-8358
Practice Phone: 602-888-7844
Practice Fax: 602-841-0426
1447101050 — KAYLEEN VARGAS RD
Practice Location Address:
10000 N 31ST AVE STE C105
PHOENIX, AZ
85051-9625
Practice Phone: 623-399-6825
Practice Fax: 623-505-3474
1447069141 — BRILLIANT CARE LLC
Practice Location Address:
3612 W DUNLAP AVE STE E
PHOENIX, AZ
85051-5300
Practice Phone: 602-315-9529
Practice Fax:

Directions to “KS AZ-1, PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.