Organization
J GREG HAAG DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY HAAG DMD (OWNER)
(270) 825-9616
Entity
Organization
Contact information
Practice address
1250 THORNBERRY DR, MADISONVILLE, KY 42431
(270) 825-9616
(270) 825-3901
Mailing address
1250 THORNBERRY DR, MADISONVILLE, KY 42431
(270) 825-9616
(270) 825-3901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60063377
—
KY
Enumeration date
02/21/2007
Last updated
06/18/2008
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