Provider Demographics
NPI:1699985333
Name:HAID DENTAL ASSOCIATES
Entity type:Organization
Organization Name:HAID DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-885-2610
Mailing Address - Street 1:250 W BRIDGE ST
Mailing Address - Street 2:STE.201
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2123
Mailing Address - Country:US
Mailing Address - Phone:614-889-7661
Mailing Address - Fax:614-889-6179
Practice Address - Street 1:250 W BRIDGE ST
Practice Address - Street 2:STE.201
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2123
Practice Address - Country:US
Practice Address - Phone:614-889-7661
Practice Address - Fax:614-889-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH213941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty