Hattiesburg Road Dental, P.C.
NPI 1023241767ActiveOrganization· Dentist, General Practice· Jackson, MS
Dentist, General Practice in Jackson, Mississippi, registered in NPPES in August 2009. The authorized official on file is Dale G. Mayfield, DMD, President.
Overview
| NPI | 1023241767 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2009 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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