Organization
RICHARD A HAIMES DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A HAIMES DDS (ORAL SURGEON)
(631) 665-3131
Entity
Organization
Contact information
Practice address
1991 UNION BLVD, BAY SHORE, NY 11706-7936
(631) 665-3131
(631) 665-0566
Mailing address
1991 UNION BLVD, BAY SHORE, NY 11706-7936
(631) 665-3131
(631) 665-0566
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
031996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5744
FIDELIS
NY
Enumeration date
06/05/2008
Last updated
06/05/2008
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