Provider Demographics
NPI:1073542452
Name:WEEKS, HASSELL HOWARD III (DDS)
Entity Type:Individual
Prefix:DR
First Name:HASSELL
Middle Name:HOWARD
Last Name:WEEKS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E NASH ST
Mailing Address - Street 2:PO BOX 460
Mailing Address - City:SPRING HOPE
Mailing Address - State:NC
Mailing Address - Zip Code:27882-0460
Mailing Address - Country:US
Mailing Address - Phone:252-478-3422
Mailing Address - Fax:252-478-5445
Practice Address - Street 1:615 E NASH ST
Practice Address - Street 2:
Practice Address - City:SPRING HOPE
Practice Address - State:NC
Practice Address - Zip Code:27882-7873
Practice Address - Country:US
Practice Address - Phone:252-478-3422
Practice Address - Fax:252-478-5445
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8999061Medicaid