IndividualActive
Eric Haynam, D.D.S
NPI 1043688831 · General Practice Dentistry · Port St Joe, FL
Provider details
- NPI number
- 1043688831
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 63516 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Cecil G Costin Sr Blvd
Port St Joe, FL 32456-1928
Phone: (850) 229-1043
Approximate (ZIP-level) locationGet directions
Mailing address
2475 Garrison Ave
Port St Joe, FL 32456-5265
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.