Individual
MR. WESLEY JAMES HAILEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072
(615) 859-2224
Mailing address
PO BOX 615, GOODLETTSVILLE, TN 37070-0615
(615) 859-2224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3394
TN
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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