NPI 1194892497

Terry Glen Haney, DDS

Practitioner General Practice Dentistry Ada, OK

Practice location

Address: 1921 Stonecipher Dr, Ada, OK 74820-3439
Phone: (580) 421-4596
Fax: (580) 421-4595

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DD2199 (NM)

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Registry record

NPI: 1194892497
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2006
Record last updated: 18 May 2015

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.