TAJ M. HAYNES DMD, PA (NPI# 1477950145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477950145 |
| Entity Type | Organization |
| Organization Name | TAJ M. HAYNES DMD, PA |
| Other Organization Name | MODERN FAMILY DENTAL CARE |
| Practice Address |
8505 Davis Lake Pkwy Suite Ab-3 Charlotte NC 28269-3415 |
| Mailing Address |
8455 Pit Stop Ct Nw Suite 140 Concord NC 28027-8249 |
| Practice Telephone | 7049793436 |
| Practice Fax Number | 8668991286 |
| Mailing Telephone | 7049048423 |
| Mailing Fax Number | 8668991286 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DR. TAJ MICHAEL HAYNES (DOCTOR) |
| Authorized Official Telephone | 7049048423 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8832 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Modern Family Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912297623 | Taj M. Haynes Dmd, Pa | Dentist | 8455 Pit Stop Ct Nw, Suite 140, Concord, NC 28027-8249 | 2011-04-14 |
| Street Address |
8505 DAVIS LAKE PKWY SUITE AB-3 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013576735 | Pratheek Choudary Koneru | Dentist | 8505 Davis Lake Pkwy, Charlotte, NC 28269-3415 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851805 | Ganglani Dmd Pllc | Dentist | 8420 Park Rd, Charlotte, NC 28210-5801 | 2020-08-10 |
| 1598381816 | Robert Edwin Porter | Dentist | 135 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-3871 | 2020-06-23 |
| 1811511165 | Cameron Campbell | Dentist | 2315 W Arbors Dr Ste 220, Charlotte, NC 28262-2639 | 2020-06-02 |
| 1407479264 | Darren Ramsey Dds Pllc | Dentist | 2748 Interstate St Ste C, Charlotte, NC 28208-3654 | 2020-05-27 |
| 1265052070 | Alterman Dhillon and Associates | Dentist | 4815 Berewick Town Center Dr Ste I&j, Charlotte, NC 28278-6733 | 2020-04-22 |
| 1982234357 | S. Gibree, D.m.d., P.C. | Dentist | 8680 Rachel Freeman Way Ste A, Charlotte, NC 28278-9567 | 2020-01-24 |
| 1093354854 | S. Gibree, D.m.d., P.C. | Dentist | 9511 Riverbend Village Dr Ste I5, Charlotte, NC 28216-9124 | 2019-12-27 |
| 1063057479 | Justin Harlow Dds Pa 2 | Dentist | 2607 E 7th St Ste 102, Charlotte, NC 28204-4308 | 2019-11-08 |
| 1336782192 | David Hendrick Dds Pllc IIi | Dentist | 13739 Steele Creek Rd Unit 100, Charlotte, NC 28273-7139 | 2019-10-24 |
| 1891342119 | Natasha Mofrad | Dentist | 3210 Wilkinson Blvd, Charlotte, NC 28208-5661 | 2019-08-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.