Provider Demographics
NPI:1578780169
Name:HEBER W. WINDLEY III, D.D.S.,M.S.,P.A.
Entity Type:Organization
Organization Name:HEBER W. WINDLEY III, D.D.S.,M.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEBER
Authorized Official - Middle Name:WILKINSON
Authorized Official - Last Name:WINDLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:919-269-0300
Mailing Address - Street 1:315 HOSPITAL ROAD
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597
Mailing Address - Country:US
Mailing Address - Phone:919-269-0300
Mailing Address - Fax:919-269-0964
Practice Address - Street 1:315 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597
Practice Address - Country:US
Practice Address - Phone:919-269-0300
Practice Address - Fax:919-269-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59711223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty