Provider Demographics
NPI:1467585281
Name:HATLEY, NAYLA (DDS)
Entity Type:Individual
Prefix:
First Name:NAYLA
Middle Name:
Last Name:HATLEY
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 1:9501 N RODNEY PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-6207
Mailing Address - Country:US
Mailing Address - Phone:501-225-4128
Mailing Address - Fax:501-225-6819
Practice Address - Street 1:9501 N RODNEY PARHAM RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-6207
Practice Address - Country:US
Practice Address - Phone:501-225-4128
Practice Address - Fax:501-225-6819
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR32341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice