Individual provider · Type 1 NPI

Edmond Shaun Mayatte, DMD

General Practice Dentistry · Brandon, MS

NPI number 1063505840 Active

About NPI 1063505840

Edmond Shaun Mayatte, DMD's National Provider Identifier is 1063505840, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brandon, MS. The record was last updated on Jul 8, 2007.