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DR. LEO A HAYDT IV AND DR. CHARLES ASHLEY MANN PA NPI 1396040812


NPI Information

NPI: 1396040812
Provider Name: DR. LEO A HAYDT IV AND DR. CHARLES ASHLEY MANN, PA

Doing Business As: TRYON FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2720 LAKE WHEELER RD
SUITE 125
RALEIGH, NC
ZIP 27603
Phone: (857) 366-1662
Get Directions

DR. LEO A HAYDT IV AND DR. CHARLES ASHLEY MANN, PA is a general practice dentist in Raleigh, NC. The provider is 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. DR. LEO A HAYDT IV AND DR. CHARLES ASHLEY MANN, PA NPI is 1396040812. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tryon Family Dental.

The provider's business location address is:

2720 LAKE WHEELER RD
SUITE 125
RALEIGH, NC
ZIP 27603-890
Phone: (857) 366-1662

The provider's authorized official is Leo Aloysious Haydt .
The authorized official title is Dentist and has the following contact phone number (857) 366-1662.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 1/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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