Individual ProviderCaroline King HaynieDentistDental ProvidersPractice Address7101 Pines Rd, Shreveport, LA 71129-3403(318) 688-2970PECOS EnrollmentBased on the most recent information from CMS, provider Caroline King Haynie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598070344Provider TypeIndividualFull NameHaynie, Caroline KingCredentialDDSGenderFemaleSole ProprietorYesEnumeration Date8/17/2010Last Updated8/17/2010Contact InformationPractice LocationPractice Address7101 Pines Rd, Shreveport, LA 71129-3403Phone(318) 688-2970Fax(318) 688-2972Mailing LocationMailing Address7101 Pines Rd, Shreveport, LA 71129-3403Phone(318) 688-2970Fax(318) 688-2972Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense6077Louisiana