Provider Demographics
NPI:1326124066
Name:HAYWARD, JANIS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:J
Last Name:HAYWARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 N SHELDON RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1970
Mailing Address - Country:US
Mailing Address - Phone:734-451-1188
Mailing Address - Fax:734-451-7442
Practice Address - Street 1:8701 N SHELDON RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1970
Practice Address - Country:US
Practice Address - Phone:734-451-1188
Practice Address - Fax:734-451-7442
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI137541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice