Provider Demographics
NPI:1255224432
Name:HAYES PREMPEH KNOCKUM AND ASSOCIATES HAMPSTEAD, PLLC
Entity type:Organization
Organization Name:HAYES PREMPEH KNOCKUM AND ASSOCIATES HAMPSTEAD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:HAYES
Authorized Official - Last Name:PREMPEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MPH
Authorized Official - Phone:919-452-1546
Mailing Address - Street 1:2748 FENNELL TOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-8786
Mailing Address - Country:US
Mailing Address - Phone:919-452-1546
Mailing Address - Fax:
Practice Address - Street 1:14057 HIGHWAY 17
Practice Address - Street 2:SUITE 210
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443
Practice Address - Country:US
Practice Address - Phone:910-406-8552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty