Dr. Susie Stafford Hayden
Pediatric Dentist
20322 Huebner Rd Suite #103
San Antonio
, Texas 78258
Dr. Susie Stafford Hayden
Pediatric Dentist
20322 Huebner Rd Suite #103
San Antonio
, Texas 78258
(210) 494-4025
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Susie Stafford Hayden
- 19503 Encino Spur St
- San Antonio, TX
- Zip : 78259-2305
- Fax : (210) 494-4025
- Phone : (210) 491-4141
Second Address
- Dr. Susie Stafford Hayden
- 20322 Huebner Rd Suite #103
- San Antonio, TX
- Zip : 78258
- Fax : (210) 494-4025
- Phone : (210) 491-4141
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Is Dr. Susie Stafford Hayden a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 16839 | TX |
National Provider Identifier
| NPI | 1023194172 |
|---|---|
| Provider Name | Dr. Susie Stafford Hayden |
| First Address | San Antonio, TX 78259-2305 |
| Second Address | San Antonio, TX 78258 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.