Healthcare Provider Details

I. General information

NPI: 1285892976
Provider Name (Legal Business Name): PATRICK RAY HAYS D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 W MAIN ST SUITE 1
BELGRADE MT
59714-3828
US

IV. Provider business mailing address

412 W MAIN ST SUITE 1
BELGRADE MT
59714-3828
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-8006
  • Fax:
Mailing address:
  • Phone: 406-388-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1417
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: