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NPI Code Detail

MEDICARE: HAYES FAMILY DENTISTRY

MEDICARE: HAYES FAMILY DENTISTRY
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
1122300000XDentist3129-00MS

General Provider Information

NPI Number : 1871916932
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAYES FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 3823 HIGHWAY 80 E
Second Line : SUITE 400
City : PEARL
State : MS
Zip : 39208-4271
Country : US
Telephone Number : 301-664-9300
Fax Number : 601-664-1977
Provider Business Practice Location Address
First Line : 3823 HWY 80 EAST
Second Line : SUITE 400
City : PEARL
State : MS
Zip : 39208-4232
Country : US
Telephone Number : 601-664-9300
Fax Number : 601-664-1977
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT B HAYES
Credential : DMD
Telephone Number : 601-664-9300
Provider Enumeration Date : 01/27/2014
Last Update Date : 01/27/2014

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Directions to “HAYES FAMILY DENTISTRY ” Practice Location

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