Individual
DR. JOHN JASON HAFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3480 KEITH BRIDGE RD, SUITE A-4, CUMMING, GA 30041-5568
(770) 292-9441
(770) 292-9442
Mailing address
3480 KEITH BRIDGE RD, SUITE A-4, CUMMING, GA 30041-5568
(770) 292-9441
(770) 292-9442
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
442000064
VA
1223P0221X
Pediatric Dentistry
Primary
DNO13520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189864465
—
GA
Enumeration date
07/24/2007
Last updated
04/27/2012
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