Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J.r. Haynie DDS PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1548607633

J.r. Haynie DDS PC is an Oral & Maxillofacial Surgery (D.M.D.) in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

980 W Ironwood Dr Ste 301
Coeur D Alene, ID 83814-2668
Phone: (208) 664-0844
Fax: (208) 664-9682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence N-13145 (ID)

Record details

NPI number1548607633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Haynie — Owner · (614) 460-1181
Other names Lakeside Oral Surgery & Dental Implants
NPI enumeratedMay 29, 2013
Last updated in NPPESMay 29, 2013
Mailing address980 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814-2668