Provider Demographics
NPI:1174009880
Name:HAYS, BART WAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BART
Middle Name:WAYNE
Last Name:HAYS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 FM 663 STE 420
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6509
Mailing Address - Country:US
Mailing Address - Phone:972-528-4802
Mailing Address - Fax:
Practice Address - Street 1:2040 FM 663 STE 420
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6509
Practice Address - Country:US
Practice Address - Phone:972-528-4802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice