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Individual

MR. JAMES S HAYWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
989 W WASHINGTON ST STE 104, MARQUETTE, MI 49855-4073
(906) 226-9992
(906) 226-9982
Mailing address
989 W WASHINGTON ST STE 104, MARQUETTE, MI 49855-4073
(906) 226-9992
(906) 226-9982

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
JH010433
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88131
DENTAL DENTAL PROVIDER NU
MI
01
D801057
BCBS DENTAL PROVIDER NUMB
MI
Enumeration date
10/02/2006
Last updated
07/09/2007
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