Individual
DR. ERIC HAYNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
401 CECIL G COSTIN SR BLVD, PORT ST JOE, FL 32456-1928
(850) 229-1043
Mailing address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 229-1043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63516
CA
1223G0001X
General Practice Dentistry
Primary
DN25097
FL
Other
Enumeration date
09/10/2015
Last updated
05/01/2023
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