MEDICARE: RAYMOND J. HAIGNEY II, D.D.S., P.A.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	7737	NC

General Provider Information

NPI Number	:	1174791305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMOND J. HAIGNEY II, D.D.S., P.A.

Provider Business Mailing Address
First Line	:	9727 NORTHCROSS CENTER COURT
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078
Country	:	US
Telephone Number	:	704-987-3132
Fax Number	:	704-987-3709

Provider Business Practice Location Address
First Line	:	9727 NORTHCROSS CENTER COURT
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078
Country	:	US
Telephone Number	:	704-987-3132
Fax Number	:	704-987-3709

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAYMOND J. HAIGNEY II
Credential	:	DDS
Telephone Number	:	704-987-3132

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	07/30/2010

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