# HAINLEY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932588159
- **Authorized official:** DR. ADAM HAINLEY DMD (DENTIST)
- **Authorized official phone:** (607) 321-4555

## Contact information

- **Practice address:** 39966 ROUTE 6, WYALUSING, PA 18853-9032
- **Practice address phone:** (570) 746-1109
- **Mailing address:** 39966 ROUTE 6, WYALUSING, PA 18853-9032
- **Mailing address phone:** (570) 746-1109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS040347 | PA | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015