Provider Demographics
NPI:1881618452
Name:HAIGLER DENTAL CARE, PA
Entity type:Organization
Organization Name:HAIGLER DENTAL CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:HAIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-229-3310
Mailing Address - Street 1:PO BOX 49187
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-0004
Mailing Address - Country:US
Mailing Address - Phone:864-229-3310
Mailing Address - Fax:
Practice Address - Street 1:688 BYPASS 72 NW
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-1302
Practice Address - Country:US
Practice Address - Phone:864-229-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41931223G0001X
SC40371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty