Haynes, Lissade & Associates, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAYNES, LISSADE & ASSOCIATES, PLLC

Practice address

8150 Mount Holly Huntersville Rd
Suite a
Charlotte, NC 28216-9791

Phone

(610) 202-3230

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrice Lissade, DMD

Title

Co-Owner

Phone

(610) 202-3230

Specialties & licenses 1

Addresses

Other names 1

• Long Creek Family Dental Doing business as

Locations

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1073853263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169791",
            "telephone_number": "610-202-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169791",
            "telephone_number": "610-202-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES, LISSADE & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "LISSADE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "610-202-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary D Hayes
• Tamara Lynn Haygarth, MS, CGC
• Stephen Hayko
• Brittany Haynes
• Erin Herrick Haynes, DO
• Marybeth Haynes, NP
• Shiwan Danae Haynes
• Tanner Haynes
• Tommie Tomika Haynes, MSW, LCAS
• Vicki Maria Haynes, QP

• Dental Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.