Individual
MR. MARKUS P. HEYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3704-B N. CROATAN HIGHWAY, KITTY HAWK, NC 27949-9216
(252) 261-7700
(252) 261-1770
Mailing address
3704-B. N. CROATAN HIGHWAY, KITTY HAWK, NC 27949-9216
(252) 261-7700
(252) 261-1770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7715
NC
122300000X
Dentist
Primary
7775
NC
1223G0001X
General Practice Dentistry
7775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902U8
—
NC
05
—
89902UB
—
NC
Enumeration date
03/29/2006
Last updated
01/10/2014
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