KS2 TX, PC

General Practice Dentistry · Texas City, TX

Organization Active NPI

NPI number 1760772115

Practice location

1012 20TH Street North
Texas City, TX 77590
Phone
(770) 916-9000

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NPI record

NPI
1760772115
Entity type
Organization (Type 2)
Enumeration date
April 19, 2011
Last updated
December 19, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —
Endodontics 1223E0200X — —
Oral and Maxillofacial Surgery (Dentist) 1223S0112X — —

Mailing address

1090 Northchase Pkwy SE Ste 150
Marietta, GA 30067-6407
Phone
(770) 916-5028
Fax
(678) 247-7858

Authorized official

Name
Dr. Dale Mayfield, DMD
Title
President
Phone
(770) 916-5028

Other names

  • Kool Smiles

About KS2 TX, PC

KS2 TX, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1012 20TH Street North, Texas City, TX 77590. The NPI number 1760772115 was assigned on April 19, 2011 and the record was last updated on December 19, 2014.

The authorized official for this organization is Dr. Dale Mayfield, DMD, President.

Frequently asked questions

What is the NPI number of KS2 TX, PC?

The NPI number is 1760772115.

What is the phone number of KS2 TX, PC?

The phone number listed for the practice location is (770) 916-9000.

Where is KS2 TX, PC located?

1012 20TH Street North, Texas City, TX 77590.

What is the taxonomy code for KS2 TX, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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