Organization
HAYNES & OTT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HAYNES D.D.S. (PRESIDENT)
(410) 641-3490
Entity
Organization
Contact information
Practice address
1 PITTS ST, BERLIN, MD 21811-1127
(410) 641-3490
(410) 641-9504
Mailing address
1 PITTS ST, BERLIN, MD 21811-1127
(410) 641-3490
(410) 641-9504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5914
MD
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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