MEDICARE: CATHERINE A. HA, DMD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6228	NC

General Provider Information

NPI Number	:	1053410787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE A. HA, DMD, PA

Provider Business Mailing Address
First Line	:	101 DEER VALLEY DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-5228
Country	:	US
Telephone Number	:	919-469-8980
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 S MIAMI BLVD
Second Line	:	116
City	:	DURHAM
State	:	NC
Zip	:	27703-8465
Country	:	US
Telephone Number	:	919-941-5549
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CATHERINE ANH HA
Credential	:	DMD
Telephone Number	:	919-941-5549

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/21/2022

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