MEDICARE: WILLIAM J HAYES DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	17959	OH

General Provider Information

NPI Number	:	1285773150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM J HAYES DDS INC

Provider Business Mailing Address
First Line	:	7172 COLUMBIA RD
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138
Country	:	US
Telephone Number	:	440-235-3060
Fax Number	:	440-235-2382

Provider Business Practice Location Address
First Line	:	7172 COLUMBIA RD
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138
Country	:	US
Telephone Number	:	440-235-3060
Fax Number	:	440-235-2382

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM J HAYES
Credential	:	DDS
Telephone Number	:	440-235-3060

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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