John Michael Haws, DDS
Individual provider Active NPI Dentist · Jonesborough, TN
NPI 1710199385 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710199385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS0000002453 (TN)
- Practice address
- 404 W Jackson Blvd
Suite a
Jonesborough, TN 37659-1132 - Phone
- (423) 753-6335
- Fax
- (423) 753-6335
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS0000002453 | TN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000002453 | TN | Yes |
Addresses
Primary practice location
404 W Jackson Blvd
Suite a
Jonesborough, TN 37659-1132
Mailing address
404 W Jackson Blvd
Suite a
Jonesborough, TN 37659-1132
Phone (423) 753-6335
Other providers in Jonesborough, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.