Provider Demographics
NPI:1801892476
Name:HAIG, GEORGE PHILIP (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PHILIP
Last Name:HAIG
Suffix:
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 1:491 N WENDOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1064
Mailing Address - Country:US
Mailing Address - Phone:704-540-5400
Mailing Address - Fax:704-364-5293
Practice Address - Street 1:491 N WENDOVER RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1064
Practice Address - Country:US
Practice Address - Phone:704-540-5400
Practice Address - Fax:704-364-5293
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA514311223G0001X
NC101611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10161OtherNORTH CAROLINA DENTAL LICENSE
CA51431OtherCALIFORNIA DENTAL LICENSE