Haley Skelton Buchanan, DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Benbrook, TX
NPI 1205288461 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1205288461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 34956 (TX)
- Practice address
- 4200 Bryant Irvin Rd Ste 117
Benbrook, TX 76109-4212 - Phone
- (817) 731-8401
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL-416-16 | NV | MD | Dentist |
| 34956 | TX | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | LL-416-16 | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 34956 | TX | Yes |
Addresses
Primary practice location
4200 Bryant Irvin Rd Ste 117
Benbrook, TX 76109-4212
Mailing address
6100 Troon Rd
Fort Worth, TX 76132-4428
Phone (859) 221-8152
Other practice location 1
240 SW Wilshire Blvd
Burleson, TX 76028-4714
Phone (817) 295-7124
Other providers in Benbrook, TX
- Mark Richard Bronson
- Marnita Brown
- Shannon R. Brown
- Meghan Brusto
- Jazzmine Lashy Bryant
- Michael S Bumagin
- Brittney Burey
- Audreanna Alisha Burkins
- Zachary Burnett
- Warren Vanness Bush II
All providers in Benbrook, TX · Orthodontics and Dentofacial Orthopedics Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.