Leo a Haydt IV DMD V, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEO A HAYDT IV DMD V, PLLC

Practice address

208 N. Arendell Ave.
Suite 101
Zebulon, NC 27597

Phone

(919) 760-6710

Fax

(919) 869-2999

NPI assigned

Jul 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leo Aloysious Haydt IV, DMD

Title

President

Phone

(919) 760-6710

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1073248407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N ARENDELL AVE.",
            "address_2": "SUITE 101",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "27597",
            "telephone_number": "919-760-6710",
            "fax_number": "919-869-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N. ARENDELL AVE.",
            "address_2": "SUITE 101",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "27597",
            "telephone_number": "919-760-6710",
            "fax_number": "919-869-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO A HAYDT IV DMD V, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HAYDT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ALOYSIOUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-760-6710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Zebulon, NC
• Providers in Zebulon, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.