Healthcare Provider Details

I. General information

NPI: 1225191356
Provider Name (Legal Business Name): MICHAEL JOSEPH MAYHEW DDS MS HS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 BOONE HEIGHTS DRIVE
BOONE NC
28607
US

IV. Provider business mailing address

373 BOONE HEIGHTS DRIVE
BOONE NC
28607
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-0110
  • Fax: 828-264-5453
Mailing address:
  • Phone: 828-264-0110
  • Fax: 828-264-5453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number4664
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number4664
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: