Provider Demographics
NPI:1326210501
Name:HAROLD S. SPEIGHT, D.D.S. P.A.
Entity Type:Organization
Organization Name:HAROLD S. SPEIGHT, D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:SPEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-220-4200
Mailing Address - Street 1:2711 N DUKE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2619
Mailing Address - Country:US
Mailing Address - Phone:919-220-4200
Mailing Address - Fax:919-220-2466
Practice Address - Street 1:2711 N DUKE ST
Practice Address - Street 2:SUITE C
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2619
Practice Address - Country:US
Practice Address - Phone:919-220-4200
Practice Address - Fax:919-220-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC56371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty