Provider Demographics
NPI:1518696525
Name:MILLER, HALEY MORGAN (DDS)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MORGAN
Last Name:MILLER
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 1:142 MILLAUDON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3630
Mailing Address - Country:US
Mailing Address - Phone:985-377-8324
Mailing Address - Fax:
Practice Address - Street 1:377 HIGHWAY 21 STE 102
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3442
Practice Address - Country:US
Practice Address - Phone:985-845-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7322122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist