MAYFIELD FAMILY & COSMETIC DENTISTRY LLC (NPI# 1740319375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740319375 |
| Entity Type | Organization |
| Organization Name | MAYFIELD FAMILY & COSMETIC DENTISTRY LLC |
| Practice Address |
2540 State Highway 30 Mayfield NY 12117 |
| Mailing Address |
Po Box K Mayfield NY 12117 |
| Practice Telephone | 5186616405 |
| Practice Fax Number | 5186617765 |
| Mailing Telephone | 5186616405 |
| Mailing Fax Number | 5186617765 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM MICHAEL HASSAN (OWNER MEMBER MANAGER) |
| Authorized Official Telephone | 5186616405 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2540 STATE HIGHWAY 30 |
| City | MAYFIELD |
| State | NY |
| Zip Code | 12117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164551792 | William Michael Hassan | Dentist | 2540 State Highway 30, Mayfield, NY 12117 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843252 | Amy Brower | Physical Therapist | 156 Berry Road, Mayfield, NY 12117 | 2016-06-27 |
| 1528369675 | Jean M. Gustafson | Physical Therapist | 80 North Main Street, Mayfield Elementary School, Mayfield, NY 12117 | 2010-11-05 |
| 1245516483 | Dale Evon Hults | Physical Therapist | 81 North Main St., Mayfield, NY 12117 | 2011-11-02 |
| 1619020492 | Mayfield Central School District | Local Education Agency (LEA) | 27 School St, Mayfield, NY 12117-3452 | 2007-01-18 |
| 1124349360 | Janine Kilpatrick | Registered Nurse | 27 School St, Mayfield, NY 12117-3452 | 2010-06-22 |
| 1174843288 | Lori Lee Bumpus | Physical Therapist | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| 1265752372 | Gwendolyn Sue Mucica | Occupational Therapist | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| 1962722074 | Amelia S Feerick | Occupational Therapy Assistant | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| 1437569746 | Michael S Parslow | Family Medicine | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2014-05-08 |
| 1760726921 | Sarah Jean Hand | Physician Assistant | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2012-11-12 |
| Find all providers in zip 12117 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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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.