Dr. Samuel B. Mayfield

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Gautier, MS

NPI 1376757138 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376757138
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
03171 (MS)
Legal business name
DR. SAMUEL B. MAYFIELD
Practice address
4341 Gautier Vancleave Rd
Suite 3
Gautier, MS 39553-4825
Phone
(228) 497-9844
Fax
(228) 497-9499
NPI assigned
May 10, 2007
Organization subpart
No

Authorized official

Name
Dr. Samuel B. Mayfield, DDS
Title
Orthodontist
Phone
(228) 497-9844

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223X0400X 03171 MS Yes

Addresses

Primary practice location

4341 Gautier Vancleave Rd
Suite 3
Gautier, MS 39553-4825

Mailing address

4341 Gautier Vancleave Rd
Suite 3
Gautier, MS 39553-4825
Phone (228) 497-9844

Other providers in Gautier, MS

All providers in Gautier, MS · Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.