Whalio Doctors

NPI 1104992122

John a Haden, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kirkwood, MO

Practice location

Address
12166 Old Big Bend STE 101, Kirkwood, MO 63122
Phone
(314) 822-7123
Fax
(314) 822-7814

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 010781 (MO)

Registry record

NPI
1104992122
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Nov 2006
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.