| Alayna Hattenhauer Dds Pllc | |
|
507 Hutson St Blytheville AR 72315-2415 | |
| (870) 762-5274 | |
| (870) 762-5280 |
| Full Name | Alayna Hattenhauer Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 507 Hutson St, Blytheville, Arkansas |
| Authorized Official Name and Position | Alayna Hattenhauer (OWNER) |
| Authorized Official Contact | 8707625274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alayna Hattenhauer Dds Pllc 507 Hutson St Blytheville AR 72315-2415 Ph: (870) 762-5274 | Alayna Hattenhauer Dds Pllc 507 Hutson St Blytheville AR 72315-2415 Ph: (870) 762-5274 |
| NPI Number | 1962137331 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962137331 | NPI | - | NPPES |
| 1558854588 | Other | AR | ARKANSAS |
| 1811022692 | Other | AR | ARKANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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