David Haithcock, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015013 Issued in GA

Practice address

6304 Old Highway 5 Ste 100
Woodstock, GA 30188-2500

Phone

(770) 924-0157

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1972985794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CLIFFHANGER POINTE SW",
            "city": "EUHARLEE",
            "state": "GA",
            "postal_code": "301206079",
            "telephone_number": "404-408-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 OLD HIGHWAY 5 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882500",
            "telephone_number": "770-924-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAITHCOCK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Haas, LAPC
• Semper Habib
• Taylor Haddock
• Mary Beth Haile, CPS-MH/P, CHW
• Yohannes Haile, PHARMD
• Hale Healthcare, LLC
• Elliott Marie Hale, D.C.
• James Patrick Haley, M.D.
• Jared Michael Haley, CSA
• Brenda Norton Hall, LPC

• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.