ROBERT M. HABERKORN DDS – NPI #1154606440
Clinic/Center

ROBERT M. HABERKORN DDS is an AHC clinic located in FAIRFAX, SC. NPPES has assigned the NPI number 1154606440 to ROBERT M. HABERKORN DDS on October 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ROBERT M. HABERKORN DDS is also known by the name SOUTHERN EDGE DENTAL CENTER. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 15 years ago on Dec 05, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT M. HABERKORN DDS below.

NPI Profile for
ROBERT M. HABERKORN DDS

NPI Number
1154606440
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROBERT M. HABERKORN DDS
Other Name: SOUTHERN EDGE DENTAL CENTER
Primary location
1987 ALLENDALE FAIRFAX HWY.
FAIRFAX, SC 29827
Phone: (803) 632-3301 Fax:
Mailing address
P.O. BOX 368
FAIRFAX, SC 29827
Phone: (803) 632-3301 Fax:
Organization Subpart
No
Authorized Official
ROBERT HABERKORN
OWNER
Phone: (803) 632-3301
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
SC 6951

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.