| Jesse G Hayden Dmd Pc | |
|
12625 Sw 69th Ave Tigard OR 97223-8306 | |
| (541) 207-7029 | |
| Not Available |
| Full Name | Jesse G Hayden Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 12625 Sw 69th Ave, Tigard, Oregon |
| Authorized Official Name and Position | Jesse G Hayden (PRESIDENT) |
| Authorized Official Contact | 5412077029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse G Hayden Dmd Pc 12625 Sw 69th Ave Tigard OR 97223-8306 Ph: (541) 207-7029 | Jesse G Hayden Dmd Pc 12625 Sw 69th Ave Tigard OR 97223-8306 Ph: (541) 207-7029 |
| NPI Number | 1629463740 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629463740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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