Healthcare Provider Details

I. General information

NPI: 1285773150
Provider Name (Legal Business Name): WILLIAM J HAYES DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7172 COLUMBIA RD
OLMSTED TWP OH
44138
US

IV. Provider business mailing address

7172 COLUMBIA RD
OLMSTED TWP OH
44138
US

V. Phone/Fax

Practice location:
  • Phone: 440-235-3060
  • Fax: 440-235-2382
Mailing address:
  • Phone: 440-235-3060
  • Fax: 440-235-2382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17959
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. WILLIAM J HAYES
Title or Position: PRESIDENT
Credential: DDS
Phone: 440-235-3060