Carl F Hackney, DMD

NPI #1790897080 in Grundy, Virgin Islands

Provider Information

NPI Number: 1790897080
Entity Type: Individual
Name: Carl F Hackney, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: RIVERSIDE DRIVE
City: Grundy
State: Virgin Islands
ZIP Code: 24614-2814
Phone: (276) 935-4565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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