Provider Demographics
NPI:1083829428
Name:H. HOWARD WEEKS, DDS, PA
Entity Type:Organization
Organization Name:H. HOWARD WEEKS, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSELL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-478-3422
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:615 EAST NASH STREET
Mailing Address - City:SPRING HOPE
Mailing Address - State:NC
Mailing Address - Zip Code:27882-0460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 EAST NASH STREET
Practice Address - Street 2:
Practice Address - City:SPRING HOPE
Practice Address - State:NC
Practice Address - Zip Code:27882-0460
Practice Address - Country:US
Practice Address - Phone:252-478-3422
Practice Address - Fax:252-478-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8999061Medicaid