# HEYDER & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376913004
- **Authorized official:** MARKUS P HEYDER DDS (DENTIST/PRESIDENT)
- **Authorized official phone:** (252) 475-9841

## Contact information

- **Practice address:** 503 CYPRESS LN, MANTEO, NC 27954-8016
- **Practice address phone:** (252) 474-9841
- **Practice address fax:** (252) 423-3150
- **Mailing address:** PO BOX 1536, MANTEO, NC 27954-1536
- **Mailing address phone:** (252) 474-9841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7775 | NC | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89902U8 | — | NC |