Haley Bennett McClendon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32923 Issued in TX

Practice address

1703 Tulane Dr
Lufkin, TX 75901-5607

Phone

(936) 632-4477

NPI assigned

Jun 19, 2017

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haley B. McClendon, DDS, PLLC

  dba Hollywood Dental Center

  • Dental Clinic/Center
  • Lufkin, TX
  • NPI 1477277804
  NPD Authorized official
• Ralph W. Rose DDS PLLC

  dba Hollywood Dental Center

  • Dental Clinic/Center
  • Lufkin, TX
  • NPI 1710488838
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1366972622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045483",
            "telephone_number": "936-632-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TULANE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015607",
            "telephone_number": "936-632-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "HALEY",
        "middle_name": "BENNETT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranleigh Jayne McAdams, L.P.C.
• Kristopher Blake McCall, MD
• Derek McCarter
• Kasey McClelland
• Dixie Ann McClendon-Coker, M.D.
• Levi McClendon, PHD, LPC-S, RPT
• Sharon S McClure, LPC
• Brittany McCreary, PHD, LP
• Kelly Hartnett McDermott, DDS
• Tanya K McDonald, CRNA

• General Practice Dentistry in Lufkin, TX
• Providers in Lufkin, 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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.