Provider Demographics
NPI:1770088544
Name:HADDEN, ASHLEY (RDH)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:HADDEN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 GENESEE ST STE 500
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3599
Mailing Address - Country:US
Mailing Address - Phone:315-253-7245
Mailing Address - Fax:315-253-4727
Practice Address - Street 1:144 GENESEE ST STE 303
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3526
Practice Address - Country:US
Practice Address - Phone:315-255-9294
Practice Address - Fax:315-255-9296
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025771124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist