Healthcare Provider Details

I. General information

NPI: 1619891579
Provider Name (Legal Business Name): HAYDEN ROBERT WELTER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5266
US

IV. Provider business mailing address

427 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5266
US

V. Phone/Fax

Practice location:
  • Phone: 386-428-1270
  • Fax:
Mailing address:
  • Phone: 386-428-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: