Milburn S. Haynes, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19602 Issued in TX

Legal business name

MILBURN S. HAYNES, D.D.S., P.A.

Practice address

4330 McKnight Rd
Texarkana, TX 75503-0923

Phone

(903) 838-9700

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Milburn Sidney Haynes, D.D.S., P.A.NPI 1134265234

Title

Owner/Dentist

Phone

(903) 838-9700

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Grove Family Dentistry Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milburn Sidney Haynes, D.D.S.

  • General Practice Dentistry
  • Texarkana, TX
  • NPI 1134265234
  NPD (past) Authorized official
• Nicholas Nance Cockerell, DDS

  • Dentist
  • Texarkana, TX
  • NPI 1740853274
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184635187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030923",
            "telephone_number": "903-838-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030923",
            "telephone_number": "903-838-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILBURN S. HAYNES, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MILBURN",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-838-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Grove Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joe Michalls, PHARMD
• Mary Lane Mickens
• Kera Delayne Middleton
• Midsouth Homecare PLLC
• Midsouth Transitions Medical Group
• Anna Grace Miller, OT
• Jonathan Miller, DNP, APRN, AGACNP
• Susie Miller, R.N.
• Tirsa Elaine Miller, FNP
• Craig Prentiss Mills, PHARM. D.

• General Practice Dentistry in Texarkana, TX
• Providers in Texarkana, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.