Provider Demographics
NPI:1275610073
Name:HAUGSETH, RHEA M (DMD)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:M
Last Name:HAUGSETH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 POST OAK TRITT ROAD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062
Mailing Address - Country:US
Mailing Address - Phone:770-971-5536
Mailing Address - Fax:770-971-3046
Practice Address - Street 1:2155 POST OAK TRITT ROAD
Practice Address - Street 2:SUITE 450
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062
Practice Address - Country:US
Practice Address - Phone:770-971-5536
Practice Address - Fax:770-971-3046
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9349122300000X
CO8036122300000X
NV5627C122300000X
FL7268122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist