NPI 1003308909

Hayden McKay Horan, DMD

Practitioner General Practice Dentistry Grenada, MS

Practice location

Address: 1450 Oak St, Grenada, MS 38901-4600
Phone: (662) 229-7700
Mailing address: 2434 Fairway St, Grenada, MS 38901-7911

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4006-18 (MS)

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Registry record

NPI: 1003308909
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2018
Record last updated: 6 Jun 2018

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.