Provider Demographics
NPI:1003794934
Name:OAKWOOD FAMILY DENTAL
Entity type:Organization
Organization Name:OAKWOOD FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-614-1460
Mailing Address - Street 1:202 JACKLINE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3534
Mailing Address - Country:US
Mailing Address - Phone:860-614-1460
Mailing Address - Fax:
Practice Address - Street 1:1100 GUM BRANCH RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5743
Practice Address - Country:US
Practice Address - Phone:910-347-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental