NORTH MESA DENTAL, PC (NPI# 1528256203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528256203 |
| Entity Type | Organization |
| Organization Name | NORTH MESA DENTAL, PC |
| Other Organization Name | GOODLAND DENTISTRY |
| Practice Address |
2539 Judson Rd Longview TX 75605-4643 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6789045665 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2007-10-09 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Goodland Dentistry | Doing Business As Name - Organization |
| Kool Smiles | Doing Business As Name - Organization |
| 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 |
| Street Address |
2539 JUDSON RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145664 | Christopher Badami | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2019-07-11 |
| 1417434739 | Gianina Correa Nixon | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2018-07-20 |
| 1477073310 | Sherif Elbarnashawy | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2017-06-21 |
| 1619356839 | Sheryl Voulgaropoulos | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2015-05-20 |
| 1407261308 | Honey Balazadeh | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2014-06-30 |
| 1528407863 | Brian Miller | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2013-06-20 |
| 1952748022 | Tony Kim | Dentist | 2539 Judson Rd, Longview, TX 75605 | 2013-05-30 |
| 1275814212 | Padma Daggula | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2011-09-05 |
| 1437439304 | Kunal Karan | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124681564 | Travis L Kendall Dds Pllc | Dentist | 444 Forest Sq Ste E, Longview, TX 75605-4463 | 2019-04-22 |
| 1609349612 | Sds-bill Owens Pkwy Pllc | Dentist | 3 Doctor Cir, Longview, TX 75605-5050 | 2019-01-03 |
| 1699272088 | Gur Simran Aurora | Dentist | 3052 N Eastman Rd Ste 108, Longview, TX 75605-5013 | 2018-04-11 |
| 1801301643 | Sds-bill Owens Pkwy Pllc | Dentist | 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 | 2017-12-01 |
| 1780104836 | Timothy John Gengel | Dentist | 444 Forest Sq Ste 1, Longview, TX 75605-4400 | 2017-06-20 |
| 1154878551 | Olivia Joelle Ndoutoume | Dentist | 2801 Bill Owens Pkwy, Apt 279, Longview, TX 75605-2115 | 2016-09-02 |
| 1659793396 | Jared A Franson, Dmd, Ps | Dentist | 2020 9th Ave Ste A, Longview, WA 98632-4072 | 2014-01-15 |
| 1619300332 | Robert Byron Shelton | Dentist | 905 Walnut Hill Dr Ste 1, Longview, TX 75605-5084 | 2013-08-16 |
| 1790128189 | Shiney George | Dentist | 710 Estes Dr, Longview, TX 75602-6120 | 2013-04-16 |
| 1740560911 | Mark D Teigen Dds Ps | Dentist | 1105 14th Ave, Longview, WA 98632-3016 | 2011-08-19 |
| Find all providers in LONGVIEW | ||||
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| 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.