NPI

Robert M Haberkorn

NPI 1497745012

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
DDS,MBA
Type
Individual
Enumeration date
2005-10-25
Last updated
2015-05-05

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Specialties

Licenses

License MO
2002031756
License SC
SC6951

Location

Practice location
1987 Allendale-Fairfax Hwy
City
Fairfax SC
Postal code
29827
Phone
(803) 632-3301

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Fairfax, SC. 69 records in the public file.

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