Individual
JENNIFER ROBYN HAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, PEDIATRIC
Contact information
Practice address
1600 N MISSOURI AVE, MARCELINE, MO 64658-1012
(844) 853-8937
(660) 376-3454
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020021108
MO
1223P0221X
Pediatric Dentistry
2021014673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400086730
—
MO
Enumeration date
06/16/2010
Last updated
04/01/2024
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