| Haycock Endodontics, Inc. | |
|
1260 Highway 54 W Ste 201 Fayetteville GA 30214-4513 | |
| (770) 460-1527 | |
| Not Available |
| Full Name | Haycock Endodontics, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 Highway 54 W Ste 201, Fayetteville, Georgia |
| Authorized Official Name and Position | John Haycock (OWNER) |
| Authorized Official Contact | 7068773456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haycock Endodontics, Inc. 1260 Highway 54 W Ste 201 Fayetteville GA 30214-4513 Ph: (770) 460-1527 | Haycock Endodontics, Inc. 1260 Highway 54 W Ste 201 Fayetteville GA 30214-4513 Ph: (770) 460-1527 |
| NPI Number | 1205503398 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205503398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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