Organization
HEYDER & ASSOCIATES
Active
Other names
Atlantic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARKUS P HEYDER DDS (DENTIST/PRESIDENT)
(252) 475-9841
Entity
Organization
Contact information
Practice address
503 CYPRESS LN, MANTEO, NC 27954-8016
(252) 474-9841
(252) 423-3150
Mailing address
PO BOX 1536, MANTEO, NC 27954-1536
(252) 474-9841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902U8
—
NC
Enumeration date
10/07/2015
Last updated
10/12/2016
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