Provider Demographics
NPI:1477520070
Name:HAIGHT, WILLIAM CARY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CARY
Last Name:HAIGHT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 GRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27589
Mailing Address - Country:US
Mailing Address - Phone:252-257-3736
Mailing Address - Fax:252-257-2708
Practice Address - Street 1:202 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589
Practice Address - Country:US
Practice Address - Phone:252-257-3736
Practice Address - Fax:252-257-2708
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6766122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
915998OtherUNITED CONCORDIA
NC9015YOtherBCBS
NC899015YMedicaid