Paul Wadley Haycock in Mesa - Periodontics
Paul Wadley Haycock - NPI 1891795282
Paul Wadley Haycock is a Periodontics in Mesa, Arizona. Paul Wadley Haycock practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Paul Wadley Haycock is 1891795282. The last update date is 2007-07-08.
Paul Wadley Haycock's current location address is 4202 E Broadway, Mesa, Arizona. You can contact this provider via phone number 4809248851. The mailing address for Paul Wadley Haycock is 4202 E Broadway, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Wadley Haycock |
|---|---|
| Address | 4202 E Broadway, Mesa, Arizona |
| Phone Number | 4809248851 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS, PC |
NPI Number Detail
| NPI Number | 1891795282 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4202 E Broadway |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852061024 |
| Phone Number | 4809248851 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1747 |
|
Definition: 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 structure |
|
Post Comment/ Review Below
What is the Paul Wadley Haycock's 1891795282?
The Paul Wadley Haycock's NPI (National Provider Identifier) Number is 1891795282. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Paul Wadley Haycock is located?
The Paul Wadley Haycock is situated at the following address: 4202 E Broadway, Mesa, AZ, 852061024.
What is Paul Wadley Haycock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Wadley Haycock is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did Paul Wadley Haycock receive its 1891795282 assignment from the Centers for Medicare & Medicaid Services?
The Paul Wadley Haycock was assigned its 1891795282 on 2005-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Paul Wadley Haycock's details last updated?
The information pertaining to the Paul Wadley Haycock, including its address, specialty, and other details, was most recently updated on 2007-07-08.