J.r. Haynie DDS PC

NPI #1548607633 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1548607633
Entity Type: Organization
Organization Name: J.r. Haynie DDS PC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: May 29, 2013
Last Updated: May 29, 2013

Practice Location

Address: 980 W IRONWOOD DR STE 301
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2668
Phone: (208) 664-0844

Authorized Official

Name: DR. JOHN ROBERT HAYNIE, DDS
Title: OWNER
Phone: (614) 460-1181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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