Organization
JONATHAN W. HAIRR, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WILSON HAIRR DDS (OWNER)
(919) 810-6977
Entity
Organization
Contact information
Practice address
402 STERLINGWORTH ST, WINDSOR, NC 27983
(919) 794-2053
Mailing address
802 COMPTON RD, GREENVILLE, NC 27858-6339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467822635
—
NC
Enumeration date
02/14/2018
Last updated
08/22/2018
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