Healthcare Provider Details

I. General information

NPI: 1437071529
Provider Name (Legal Business Name): NANCY L HA DDS MS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N 13TH STREET
ROGERS AR
72756
US

IV. Provider business mailing address

13995 BYLER RD
GARFIELD AR
72732-9514
US

V. Phone/Fax

Practice location:
  • Phone: 918-360-3773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY L HA
Title or Position: ORTHODONTIST
Credential: DDS , MS
Phone: 918-360-3773