MEDICARE: DR. JAMES BUCK HAYS D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	1571	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	55945	OTHER	FED BCBS (HEALTH ADV)
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	455488	OTHER	AR BCBS (UNITED CON)

General Provider Information

NPI Number	:	1518037076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BUCK HAYS D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 4185
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72702-4185
Country	:	US
Telephone Number	:	479-717-1056
Fax Number	:	877-900-2896

Provider Business Practice Location Address
First Line	:	2025 N GREEN ACRES RD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-2619
Country	:	US
Telephone Number	:	479-521-7777
Fax Number	:	479-251-8701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	04/03/2012

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Directions to “ DR. JAMES BUCK HAYS D.D.S.” Practice Location

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