NPI 1003028002

Kent T. Haynes, DDS

Practitioner Dentist Durango, CO

Practice location

Address: 143 County Road 250, Durango, CO 81301-8530
Phone: (970) 247-9549
Fax: (970) 259-1705

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 105037 (CO)

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Registry record

NPI: 1003028002
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.