Provider Demographics
NPI:1003831116
Name:HALEY, II, WILLIAM BURTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BURTON
Last Name:HALEY, II
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:6200 SARATOGA BLVD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3421
Mailing Address - Country:US
Mailing Address - Phone:361-992-9500
Mailing Address - Fax:361-992-1862
Practice Address - Street 1:6200 SARATOGA BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3421
Practice Address - Country:US
Practice Address - Phone:361-992-9500
Practice Address - Fax:361-992-1862
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX174841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry