NPI 1548607633

J.R. Haynie DDS PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Coeur D Alene, ID

Practice location

Address: 980 W Ironwood Dr STE 301, Coeur D Alene, ID 83814-2668
Phone: (208) 664-0844
Fax: (208) 664-9682

Authorised official

Name: John Robert Haynie
Title: Owner
Phone: (614) 460-1181

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence N-13145 (ID)

Other Oral & Maxillofacial Surgery providers in Idaho →

Registry record

NPI: 1548607633
Entity type: Organization
NPI issued: 29 May 2013
Record last updated: 29 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.