Haney, Charlotte A

Haney, Charlotte A is an individual health care provider with primary practice located at 800 Rose Street Rm D104 University Of Kentucky College Of Dentistry, Lexington KY 40536-0297. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is her primary health care specialty. Haney, Charlotte A can be contacted via phone (859) 323-9707.

Contact Information

Primary practice address
800 Rose Street Rm D104 University Of Kentucky College Of Dentistry Lexington KY 40536-0297
Phone: (859) 323-9707
Fax: (859) 257-5859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4592 Kentucky
Dental Providers / Dentist 122300000X 4592 Kentucky

Profile Details

NPI number 1356302046
LBN Legal business name Haney, Charlotte A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356302046 NPPES
Kentucky MEDICAID 60045929

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