Organization · Type 2 NPI

Hattiesburg Road Dental, P.c.

General Practice Dentistry · Jackson, MS

NPI number 1689864662 Active

Practice location

989 Ellis Ave
Jackson, MS 39209-6256

Call (678) 904-5665 Map

Fax (678) 904-5666

Mailing address

210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233

Specialties and licenses

Taxonomy	Code	License
Endodontics	1223E0200X	None listed
General Practice Dentistry Primary	1223G0001X	None listed
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	None listed

General Practice Dentistry: 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.

4 other providers at this address

Other general practice dentistry providers in Jackson

See all in Jackson →

NPI record

NPI: 1689864662
Entity type: Organization (Type 2)
Issued: Jul 26, 2007
Last updated: Apr 27, 2026
Status: Active

Other names

<unavail>
Sunnybrook Dentistry · doing business as
Sunnybrook Dentistry & Braces · doing business as

Authorized official

Dr. Dale G Mayfield, DMD
Owner
(770) 916-5036

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689864662

Hattiesburg Road Dental, P.c.'s National Provider Identifier is 1689864662, issued on Jul 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Apr 27, 2026.