Provider Demographics
NPI:1154153989
Name:HAYNER DENTAL LLC
Entity type:Organization
Organization Name:HAYNER DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HAYNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-281-3955
Mailing Address - Street 1:129 28TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-4797
Mailing Address - Country:US
Mailing Address - Phone:412-281-3955
Mailing Address - Fax:412-281-4880
Practice Address - Street 1:129 28TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-4797
Practice Address - Country:US
Practice Address - Phone:412-281-3955
Practice Address - Fax:412-281-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty