Leo a Haydt IV DMD IV, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEO A HAYDT IV DMD IV, PLLC

Practice address

3421 Olympia Dr.
Suite 201
Raleigh, NC 27603

Phone

(919) 747-7888

Fax

(919) 516-0589

NPI assigned

Jul 25, 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) 747-7888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1306572250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 OLYMPIA DR.",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-747-7888",
            "fax_number": "919-516-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 OLYMPIA DR.",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-747-7888",
            "fax_number": "919-516-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO A HAYDT IV DMD IV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "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": "919-747-7888",
        "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": []
}

• Meredith Jane Lenox, RN
• Valerie Lentine, PT
• Aaron C Lentz, M.D.
• Shameka Lentz
• Lenzy'S House
• Christopher Huihui Leo
• Leon Byrum Opticians Inc
• Amy Leon
• Alicia Leonard
• Charlotte Randolph Leonard, MS CCCA

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 25, 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.