# W J HAILEY III DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** W J Hailey III DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538237342
- **Authorized official:** MR. W J HAILEY III DDS (PRESIDENT)
- **Authorized official phone:** (615) 859-2224

## Contact information

- **Practice address:** 300 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072
- **Practice address phone:** (615) 859-2224
- **Mailing address:** PO BOX 615, GOODLETTSVILLE, TN 37070-0615
- **Mailing address phone:** (615) 859-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS3394 | TN | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020
