GOODLAND DENTISTRY
NPI 1437458874
Dentist - General Practice in Tyler, TX

Active since March 24, 2011
3864 HWY 64 WEST, TYLER, TX 75704(678) 904-5665(678) 904-5666 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2019, Mar 22, 2019 (2 updates tracked since 2019).

About Goodland Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOODLAND DENTISTRY (NPI 1437458874) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since March 2011. The organization lists Dale Mayfield, President, as its authorized official.

NPPES Registry Identity

NPI1437458874
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH MESA DENTAL, PC
Location Address3864 HWY 64 WESTTyler, TX 75704
Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-5028 · Fax (678) 247-7858
Fax(678) 904-5666
Organization SubpartNo
Authorized OfficialDale MayfieldPresident · (770) 916-5036
Enumeration DateMarch 24, 2011
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
NPI 1437458874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
3864 HWY 64 WEST, Tyler, TX 75704

Other Names 1

Doing Business AsGoodland Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437458874, enumerated as an "organization" on March 24, 2011.

The provider is located at 3864 HWY 64 WEST TYLER, TX 75704 and the phone number is (678) 904-5665.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.