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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL WADLEY HAYCOCK, DDS, PC

Deactivated

DR. PAUL WADLEY HAYCOCK, DDS, PC is a Periodontology healthcare provider located in MESA, Arizona. NPI 1891795282 is deactivated in the NPPES registry. Verify at CMS.

Periodontology · MESA, AZ

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1891795282
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2005 (0.64657534246575 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 21, 2006
License
1747 (AZ)

Practice Information

Address
6755 E SUPERSTITION SPRINGS BLVD
SUITE 102
MESA, AZ, 852064373
Browse AZ providers · Browse ZIP 85206
Phone
4802187590
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in MESA, AZ

Name Credential NPI
DR. LEONARD AARON KOLTUN D.D.S. 1619969276
DR. TODD F JORGENSON D.M.D., M.S. 1427101104
DR. CHAD M. CRAVATTA DMD, MS 1457579302
DR. CHRISTINE ANN HALKET D.D.S., M.S. 1629223367
MR. NICHOLAS D ALLAN D.M.D 1609166644
DR. SATISH S. KUMAR D.M.D.,M.D.SC.,M.S. 1811288384
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.