# LEO A HAYDT IV DMD V, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073248407
- **Authorized official:** MR. LEO ALOYSIOUS HAYDT IV DMD (PRESIDENT)
- **Authorized official phone:** (919) 760-6710

## Contact information

- **Practice address:** 208 N. ARENDELL AVE., SUITE 101, ZEBULON, NC 27597
- **Practice address phone:** (919) 760-6710
- **Practice address fax:** (919) 869-2999
- **Mailing address:** 208 N ARENDELL AVE., SUITE 101, ZEBULON, NC 27597
- **Mailing address phone:** (919) 760-6710
- **Mailing address fax:** (919) 869-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 07/20/2022