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Organization

RICHARD A HAIMES DDS, PC

Active
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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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