ROBERT M. HABERKORN DDS


Address: 1987 Allendale Fairfax Hwy., Fairfax, SC 29827
Phone: 8036323301

ROBERT M. HABERKORN DDS (NPI# 1154606440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154606440
Entity Type Organization
Organization Name ROBERT M. HABERKORN DDS
Other Organization Name SOUTHERN EDGE DENTAL CENTER
Practice Address 1987 Allendale Fairfax Hwy.
Fairfax
SC 29827
Mailing Address P.o. Box 368
Fairfax
SC 29827
Practice Telephone 8036323301
Mailing Telephone 8036323301
Enumeration Date 2011-10-18
Last Update Date 2011-12-05
Authorized Official Name DR. ROBERT M HABERKORN (OWNER)
Authorized Official Telephone 8036323301
Authorized Official Credential DDS, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
6951 SC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southern Edge Dental Center Other Name - Individual/Organization

Office Location

Street Address 1987 ALLENDALE FAIRFAX HWY.
City FAIRFAX
State SC
Zip Code 29827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467843078 We Care Family Resource LLC Point of Service 513 Bayshore Dr., Fairfax, SC 29827 2015-02-18
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1588623540 Rebecca Lynn Wilkes Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2006-03-20
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1588815021 James Robert Mynatt Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2008-10-02
1063607646 Mol Ky General Practice 333 Revolutionary Trail, Fairfax, SC 29827 2007-09-07
1053475566 Low Country Health Care System, Inc Pharmacy 333 Revolutionary Trail, Farifax, SC 29827 2006-12-20
1073691002 Robert M Jones Family Medicine 333 Revolutionary Trail, Fairfax, SC 29827 2006-11-01
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053873240 Merrifield Dental Associates Clinic/Center 3025 Hamaker Ct Ste 420, Fairfax, VA 22031-2237 2019-04-05
1790124949 Georges Traboulsi Dds PC Clinic/Center 3946 Kathryn Jean Ct, Fairfax, VA 22033-2739 2013-06-20
1023287737 Naturadent, P.C. Clinic/Center 9508a Lee Hwy, Fairfax, VA 22031-2303 2008-02-27
1932292877 William B Sherman Dds PC Clinic/Center 9500 B Lee Highway, Fairfax, VA 22031 2006-10-02
1205897378 Spencer B Wagner Dmd PC Clinic/Center 1987 Allendale Fairfax Hwy, Fairfax, SC 29827-9137 2006-03-29
1710477815 Pd Dental Pllc Clinic/Center 10721 Main St Ste 100, Fairfax, VA 22030-6913 2018-05-14
1831606086 Jhia-ming Chang, Dds, PC Clinic/Center 11208 Waples Mill Rd Ste 100, Fairfax, VA 22030-6077 2018-01-09
1336661651 Jones Family Dentistry Pllc Clinic/Center 3879 Plaza Dr, Fairfax, VA 22030-2512 2017-07-07
1518330133 Optimal Dental Center, Inc Clinic/Center 8303 Arlington Blvd, Suite 107, Fairfax, VA 22031-2903 2015-11-04
1346651510 Mojgan Shaafi Dds PC Clinic/Center 3541 Chain Bridge Rd Ste 3, Fairfax, VA 22030-2793 2014-05-09
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Competitor

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City FAIRFAX
Zip Code 29827

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Dataset Information

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.

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