Individual
DR. DONALD W HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 DRINKER TURNPIKE, SUITE 19, COVENTRY TOWNSHIP, PA 18444
(570) 842-4515
(570) 842-4515
Mailing address
PO BOX 318, MOSCOW, PA 18444
(570) 842-4515
(570) 842-4515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO 23432L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014995290001
—
PA
Enumeration date
07/16/2007
Last updated
12/16/2014
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