Organization
MARKUS P. HEYDER, D.D.S., P.A.
Active
Other names
Atlantic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARKUS P HEYDER D.D.S. (PRESIDENT/DENTIST)
(252) 261-7700
Entity
Organization
Contact information
Practice address
3704B N CROATAN HWY, KITTY HAWK, NC 27949-9208
(252) 261-7700
(252) 261-1770
Mailing address
3704B N CROATAN HWY, KITTY HAWK, NC 27949-9208
(252) 261-7700
(252) 261-1770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7775
NC
122300000X
Dentist
7863
NC
1223G0001X
General Practice Dentistry
7775
NC
1223G0001X
General Practice Dentistry
7863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902569
—
NC
Enumeration date
06/11/2007
Last updated
11/22/2013
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