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L TATE HAYMON DDS NPI 1699945741


NPI Information

NPI: 1699945741
Provider Name: L TATE HAYMON DDS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
581 FARRINGDOM ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 738-3913
Get Directions

L TATE HAYMON DDS is a periodontics dentist in Lumberton, NC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. L TATE HAYMON DDS NPI is 1699945741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

581 FARRINGDOM ST
LUMBERTON, NC
ZIP 28358-614
Phone: (910) 738-3913
Fax: (910) 738-3994

The provider's authorized official is Lee Tate Haymon .
The authorized official title is Owner and has the following contact phone number (910) 738-3913.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.


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
11223P0300XDentistPeriodontics6038NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V41531MEDICARE UPIN
28993728MEDICAIDNORTH CAROLINA

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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