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General NPI Number Information
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NPI Number | 1659785202
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Entity Type | Individual
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Provider Name | KARLA HAIK D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 2475 LAKELAND DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9505
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Country | US
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Telephone | 601-981-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 5455 BRIARFIELD RD
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City | JACKSON
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State | MS
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Zip | 39211-4132
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3772-14
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License Number State | MS
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