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J.R. HAYNIE DDS PC NPI 1548607633


NPI Information

NPI: 1548607633
Provider Name: J.R. HAYNIE DDS PC

Doing Business As: LAKESIDE ORAL SURGERY & DENTAL IMPLANTS

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
980 W IRONWOOD DR STE 301
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-0844
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J.R. HAYNIE DDS PC is an oral maxillofacial surgery in Coeur D Alene, ID. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. J.R. HAYNIE DDS PC NPI is 1548607633. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeside Oral Surgery & Dental Implants.

The provider's business location address is:

980 W IRONWOOD DR STE 301
COEUR D ALENE, ID
ZIP 83814-668
Phone: (208) 664-0844
Fax: (208) 664-9682

The provider's authorized official is John Robert Haynie .
The authorized official title is Owner and has the following contact phone number (614) 460-1181.

The enumeration date for this NPI number is 5/29/2013 and was last updated on 5/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryN-13145IDAHOYes

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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