NPI age
12 years
Enumerated 2013-05-29
● Active Type 2 · Organization
J.R. Haynie DDS Pc
J.R. Haynie DDS Pc is 1 of 7 oral & maxillofacial surgery organizations in Idaho.
Primary specialty
Oral & Maxillofacial Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haynie
Owner
Last NPPES update
2013-05-29
Source: monthly bulk 2026-05
How this organization compares
Across 7 active oral & maxillofacial surgery providers in Idaho.
NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
980 W Ironwood Dr Ste 301
Coeur D Alene, ID 838142668
Mailing address
980 W Ironwood Dr Ste 301
Coeur D Alene, ID 838142668
Authorized official
John Robert Haynie, DDS
Owner
📞 6144601181
Specialties
-
Oral & Maxillofacial Surgery PrimaryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lakeside Oral Surgery & Dental Implants
Practice context
Single-site organization. Only one practice location on file.
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