Individual provider · Type 1 NPI

Paul Wadley Haycock, DDS, PC

Periodontics · Mesa, AZ

NPI number 1891795282 Active · reactivated Apr 11, 2006

Practice location

6755 E Superstition Springs Blvd, Suite 102
Mesa, AZ 85206-4373

Call (480) 218-7590 Map

Mailing address

4202 E Broadway, #42
Mesa, AZ 85206-1024

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X1747 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1891795282

Paul Wadley Haycock, DDS, PC's National Provider Identifier is 1891795282, issued on Jul 28, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mesa, AZ. The record was last updated on Jul 13, 2026.