Haycock, John
Haycock, John is an sole proprietor health care provider with primary practice located at 112 N Park Dr , Fayetteville GA 30214-1645. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Haycock, John can be contacted via phone (770) 460-1527.Contact Information
Primary practice address
112 N Park Dr
Fayetteville GA 30214-1645
Phone: (770) 460-1527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DN014171 | Georgia |
Profile Details
| NPI number | 1992093801 |
|---|---|
| LBN Legal business name | Haycock, John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2011 |
| Last updated | Jun 26th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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