Provider Demographics
NPI:1376168757
Name:MEHAFFEY, ERIN CAITLIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CAITLIN
Last Name:MEHAFFEY
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 1:223 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8648
Mailing Address - Country:US
Mailing Address - Phone:828-593-8559
Mailing Address - Fax:
Practice Address - Street 1:30 MIAMI DR
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-9423
Practice Address - Country:US
Practice Address - Phone:828-452-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC118291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11829OtherDENTAL LICENSE