Provider Demographics
NPI:1518037076
Name:HAYS, JAMES BUCK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BUCK
Last Name:HAYS
Suffix:
Gender:M
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:PO BOX 4185
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-4185
Mailing Address - Country:US
Mailing Address - Phone:479-717-1056
Mailing Address - Fax:877-900-2896
Practice Address - Street 1:2025 N GREEN ACRES RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-2619
Practice Address - Country:US
Practice Address - Phone:479-521-7777
Practice Address - Fax:479-251-8701
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
55945OtherFED BCBS (HEALTH ADV)
AR127725679Medicaid
455488OtherAR BCBS (UNITED CON)