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NPI Code Detail

MEDICARE: DR. HALEY EASLING DMD

MEDICARE: DR. HALEY EASLING DMD
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
1122300000XDentistD9606OR

General Provider Information

NPI Number : 1548681166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HALEY EASLING DMD
Provider Business Mailing Address
First Line : 501 E 7TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2677
Country : US
Telephone Number : 541-298-4411
Fax Number : 541-298-7798
Provider Business Practice Location Address
First Line : 501 E 7TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2677
Country : US
Telephone Number : 541-298-4411
Fax Number : 541-298-7798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2013
Last Update Date : 06/03/2024

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Directions to “ DR. HALEY EASLING DMD” Practice Location

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