Mayfield Family & Cosmetic Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAYFIELD FAMILY & COSMETIC DENTISTRY LLC

Practice address

2540 State Highway 30
Mayfield, NY 12117

Phone

(518) 661-6405

Fax

(518) 661-7765

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Michael Hassan, DDSNPI 1164551792

Title

Owner Member Manager

Phone

(518) 661-6405

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William Michael Hassan, DDS

  • General Practice Dentistry
  • Mayfield, NY
  • NPI 1164551792
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740319375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "MAYFIELD",
            "state": "NY",
            "postal_code": "12117",
            "telephone_number": "518-661-6405",
            "fax_number": "518-661-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 STATE HIGHWAY 30",
            "city": "MAYFIELD",
            "state": "NY",
            "postal_code": "12117",
            "telephone_number": "518-661-6405",
            "fax_number": "518-661-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD FAMILY & COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER MEMBER MANAGER",
        "authorized_official_telephone_number": "518-661-6405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Evon Hults, P.T.
• Janine Kilpatrick, RN
• Rebecca L. Lestage
• Lothlorian Chiropractic
• Mayfield Central School District
• Brooke Micaela McBride, FNP
• Gwendolyn Sue Mucica, OTR
• Paul R Perreault, MD
• Daniel M. Rumrill, DC
• Southern Adirondack Mental Health Counseling Services, PLLC

• Dental Clinic/Center in Mayfield, NY
• Providers in Mayfield, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.