Provider Demographics
NPI:1467868646
Name:JOHNH. HAY, DDS, INC.
Entity Type:Organization
Organization Name:JOHNH. HAY, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-542-9105
Mailing Address - Street 1:104 W 20TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EUDORA
Mailing Address - State:KS
Mailing Address - Zip Code:66025-8112
Mailing Address - Country:US
Mailing Address - Phone:785-542-9105
Mailing Address - Fax:
Practice Address - Street 1:104 W 20TH ST STE 3
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-8112
Practice Address - Country:US
Practice Address - Phone:785-542-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty