Will Perry Mayfield, DDS

Individual provider Active NPI General Practice Dentistry · Chandler, TX

NPI 1881821908 · NPPES record last updated Mar 4, 2024

Key facts

NPI
1881821908
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
24585 (TX)
Practice address
216 Jones
Chandler, TX 75758-2283
Phone
(903) 849-3480
Fax
(903) 849-2750
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
24585TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Will Mayfield DDS, PLLC General Practice Current
since Mar 12, 2024
Accepting new patients
John G. Enloe, DDS, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24585 TX Yes

Addresses

Primary practice location

216 Jones
Chandler, TX 75758-2283

Mailing address

PO Box 417
Chandler, TX 75758-0417
Phone (903) 849-3480

Other providers in Chandler, TX

All providers in Chandler, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.