Provider Demographics
NPI:1245217918
Name:JOSEPH L HADDEN DDS
Entity Type:Organization
Organization Name:JOSEPH L HADDEN DDS
Other - Org Name:STATE OF TENNESSEE HEALTH DEPT
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-581-9359
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:331 W MAIN ST
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37815-0429
Mailing Address - Country:US
Mailing Address - Phone:423-318-8399
Mailing Address - Fax:423-318-8376
Practice Address - Street 1:331 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37815-0429
Practice Address - Country:US
Practice Address - Phone:423-318-8399
Practice Address - Fax:423-318-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty