Organization
HAYCOCK ENDODONTICS, INC.
Active
Other names
Fayette Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAYCOCK DMD (OWNER)
(706) 877-3456
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA 30214-4513
(770) 460-1527
Mailing address
1260 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA 30214-4513
(770) 460-1527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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