SOUTHERN EDGE DENTAL CENTER
NPI 1154606440
Clinic/Center - Dental in Fairfax, SC

Active since October 18, 2011
1987 ALLENDALE FAIRFAX HWY., FAIRFAX, SC 29827(803) 632-3301 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Edge Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN EDGE DENTAL CENTER (NPI 1154606440) is a healthcare organization registered as a dental in Fairfax, South Carolina and active in the NPI registry since October 2011. The organization lists Robert M Haberkorn, Owner, as its authorized official.

NPPES Registry Identity

NPI1154606440
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROBERT M. HABERKORN DDS
Location Address1987 ALLENDALE FAIRFAX HWY.Fairfax, SC 29827
Mailing AddressP.o. Box 368Fairfax, SC 29827 · (803) 632-3301
Organization SubpartNo
Authorized OfficialRobert M HaberkornOwner · (803) 632-3301
Enumeration DateOctober 18, 2011
Last NPPES UpdateDecember 5, 2011
✔ NPI 1154606440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 6951
1987 ALLENDALE FAIRFAX HWY., Fairfax, SC 29827

Other Names 1

Other NameSouthern Edge Dental Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert M. Haberkorn Dds's NPI number?

The NPI number for Robert M. Haberkorn Dds is 1154606440. It was assigned to this organization in the NPPES registry on October 18, 2011. The provider is also known as Southern Edge Dental Center.

Where is Robert M. Haberkorn Dds located?

Robert M. Haberkorn Dds is located at 1987 Allendale Fairfax Hwy., Fairfax, SC 29827. The listed phone number is (803) 632-3301.

What is Robert M. Haberkorn Dds's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Robert M. Haberkorn Dds was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.