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Dr. Catherine Ellis Haynie, DMD

Dentist in Eglin Afb, FL. Individual provider (NPI-1).

NPI number1225318686
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1225318686
Entity type
Individual (NPI-1)
Name
Dr. Catherine Ellis Haynie
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5829ALYes

Practice location

307 Boatner Rd
Eglin Afb, FL 32542-1302

Phone 850-882-8542

Mailing address

4277 Skipjack Cv
Niceville, FL 32578-7150

Phone 256-504-9638

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