Healthcare Provider Details

I. General information

NPI: 1477520070
Provider Name (Legal Business Name): WILLIAM CARY HAIGHT JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 GRAHAM ST
WARRENTON NC
27589
US

IV. Provider business mailing address

202 GRAHAM ST
WARRENTON NC
27589
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-3736
  • Fax: 252-257-2708
Mailing address:
  • Phone: 252-257-3736
  • Fax: 252-257-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6766
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: