| Hayti Dental Clinic | |
|
109 E 5th St Caruthersville MO 63830-1417 | |
| (573) 922-6097 | |
| Not Available |
| Full Name | Hayti Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 E 5th St, Caruthersville, Missouri |
| Authorized Official Name and Position | Christopher Jones (CEO) |
| Authorized Official Contact | 5737482404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayti Dental Clinic 420 Semo Dr P O Box 400 New Madrid MO 63869-1734 Ph: (573) 748-2404 | Hayti Dental Clinic 109 E 5th St Caruthersville MO 63830-1417 Ph: (573) 922-6097 |
| NPI Number | 1053700435 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053700435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |