Haycock, Paul Wadley

Haycock, Paul Wadley is an individual health care provider with primary practice located at 6755 E Superstition Springs Blvd Suite 102, Mesa AZ 85206-4373. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Haycock, Paul Wadley can be contacted via phone (480) 218-7590.

Contact Information

Primary practice address
6755 E Superstition Springs Blvd Suite 102 Mesa AZ 85206-4373
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1747 Arizona

Profile Details

NPI number 1891795282
LBN Legal business name Haycock, Paul Wadley
Credentials DDS, PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 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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