Provider Demographics
NPI:1508592338
Name:HALE PRACTICE SOLUTIONS
Entity Type:Organization
Organization Name:HALE PRACTICE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETTI
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDSA
Authorized Official - Phone:170-251-0763
Mailing Address - Street 1:2213 N GREEN VALLEY PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-5077
Mailing Address - Country:US
Mailing Address - Phone:702-547-6453
Mailing Address - Fax:
Practice Address - Street 1:2213 N GREEN VALLEY PKWY STE 102
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-5077
Practice Address - Country:US
Practice Address - Phone:702-547-6453
Practice Address - Fax:702-547-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1659493997Medicaid