MEDICARE: HAYLEY ANN FALEY DDS

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	2023013514	MO
2	1223G0001X	General Practice Dentistry	09426	IA

General Provider Information

NPI Number	:	1659801546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY ANN FALEY DDS

Provider Business Mailing Address
First Line	:	1125 MO-7
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-1719
Country	:	US
Telephone Number	:	816-622-1029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 MO-7
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014
Country	:	US
Telephone Number	:	816-622-1029
Fax Number	:

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	05/24/2023

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