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General NPI Number Information
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NPI Number | 1902759103
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Entity Type | Individual
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Provider Name | CHRISTOPHER HAILEY DDS
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Gender | Male
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 122 BANK ST
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City | GRASS VALLEY
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State | CA
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Zip | 95945-6520
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Country | US
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Telephone | 530-273-4814
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 QUAIL OAKS DR
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City | GRANITE BAY
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State | CA
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Zip | 95746-6073
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Country | US
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Telephone | 916-223-4449
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 112424
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License Number State | CA
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