Individual
DR. IAN STORM HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
721 W MARKET ST STE A, ATHENS, AL 35611-2456
(256) 232-3415
(256) 230-2648
Mailing address
721 W MARKET ST STE A, ATHENS, AL 35611-2456
(256) 232-3415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006969-C1
AL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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