DR. Jerry L Haney, DDS

NPI #1609863646 in Odessa, Missouri

Provider Information

NPI Number: 1609863646
Entity Type: Individual
Name: DR. Jerry L Haney, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 4, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 404 N 4TH ST
City: Odessa
State: Missouri
ZIP Code: 64076-1152
Phone: (816) 633-5393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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