Joe Michael Hackney, DDS

Individual provider Active NPI General Practice Dentistry · Canton, TX

NPI 1891885802 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891885802
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7941 (TX)
Practice address
240 E Highway 243
Canton, TX 75103-2315
Phone
(903) 567-4881
Fax
(903) 567-5149
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7941TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ben a Bratcher DDS and Glen a. Stern DDS PC, LLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7941 TX Yes

Addresses

Primary practice location

240 E Highway 243
Canton, TX 75103-2315

Mailing address

240 E Highway 243
Canton, TX 75103-2315
Phone (903) 567-4881

Other names

  • Dr. Joe Michael Hackney Professional name

Other providers in Canton, TX

All providers in Canton, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.