Abby R Hailand, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2018017815 Issued in MO

Practice address

610 N Geyer Rd
Kirkwood, MO 63122-2756

Phone

(314) 965-4064

Fax

(314) 965-1141

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hailand Dental LLC

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1790444719
  NPD Authorized official
• Mark Taylor D.M.D P.C.

  • General Practice Dentistry
  • Kirkwood, MO
  • NPI 1972724383
  NPD (past)
• North Suburban Dental Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Skokie, IL
  • NPI 1245319607
  NPD (past)
• Webster Dental Care North Suburban LTD

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1982804654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1033696943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 PERSHING AVE APT 511",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122136",
            "telephone_number": "913-972-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GEYER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222756",
            "telephone_number": "314-965-4064",
            "fax_number": "314-965-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILAND",
        "first_name": "ABBY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018017815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Gross, MSW, LCSW
• Lauren Elizabeth Groszek, DPT
• Grove Healthcare LLC
• Jonas V Grybinas, MD
• John A Haden, DMD
• Lisa D. Haines, D.M.D.
• Jasmin Hallowell
• Meghan Christine Halsey
• Jaimee Hamm
• Brian Hampel, PLPC

• Dentist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.