HAYNES LISSADE & ASSOCIATES PLLC NPI 1073853263

NPI Information

NPI: 1073853263
Provider Name: HAYNES, LISSADE & ASSOCIATES, PLLC

Doing Business As: LONG CREEK FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8150 MOUNT HOLLY HUNTERSVILLE RD
SUITE A
CHARLOTTE, NC
ZIP 28216
Phone: (610) 202-3230
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HAYNES, LISSADE & ASSOCIATES, PLLC is a dental clinic center in Charlotte, NC. HAYNES, LISSADE & ASSOCIATES, PLLC NPI is 1073853263. The provider is registered as an organization entity type.
The provider Is Doing Business As Long Creek Family Dental.

The provider's business location address is:

8150 MOUNT HOLLY HUNTERSVILLE RD
SUITE A
CHARLOTTE, NC
ZIP 28216-791
Phone: (610) 202-3230

The provider's authorized official is Patrice Lissade .
The authorized official title is Co-owner and has the following contact phone number (610) 202-3230.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 4/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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