Provider Demographics
NPI:1467459461
Name:HAIGNEY, RAYMOND JAMES II (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:JAMES
Last Name:HAIGNEY
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9727 NORTHCROSS CENTER COURT
Mailing Address - Street 2:
Mailing Address - City:HUNTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-987-3132
Mailing Address - Fax:704-987-3709
Practice Address - Street 1:9727 NORTHCROSS CENTER COURT
Practice Address - Street 2:
Practice Address - City:HUNTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-987-3132
Practice Address - Fax:704-987-3709
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77371223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U73479Medicare UPIN