Jonathan W. Hairr, DDS, PA
Organization Active NPI Dentist · Windsor, NC
NPI 1780184093 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1780184093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 10059 (NC)
- Legal business name
- JONATHAN W. HAIRR, DDS, PA
- Practice address
- 402 Sterlingworth St
Windsor, NC 27983 - Phone
- (919) 794-2053
- NPI assigned
- Feb 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jonathan Wilson Hairr, DDS
- Title
- Owner
- Phone
- (919) 810-6977
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 10059 | NC | Yes |
Addresses
Primary practice location
402 Sterlingworth St
Windsor, NC 27983
Mailing address
802 Compton Rd
Greenville, NC 27858-6339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467822635 | Medicaid | NC |
Other providers in Windsor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.