Provider Demographics
NPI:1609389113
Name:HIGGINS MANI WATSON VII DDS PA
Entity Type:Organization
Organization Name:HIGGINS MANI WATSON VII DDS PA
Other - Org Name:THE DENTAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE DATA SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-281-2232
Mailing Address - Street 1:3612 EAGLE POINT LN
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-7394
Mailing Address - Country:US
Mailing Address - Phone:252-281-2232
Mailing Address - Fax:252-281-2163
Practice Address - Street 1:2470 EMERALD PL STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5786
Practice Address - Country:US
Practice Address - Phone:252-281-2232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty