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Lisa D. Haines, DMD
General Practice Dentistry in Kirkwood, Missouri
NPI 1114136058

Lisa D. Haines is a General Practice Dentistry based in Kirkwood, MO and is specialized in General Practice. Lisa D. Haines practices in Kirkwood, MO and has the professional credentials of DMD. The NPI Number for Lisa D. Haines is 1114136058 and holds a License No. 2003016572 (Missouri).

The current practice location address for Lisa D. Haines is 11001 Manchester Rd, Kirkwood, MO and can be reached out via phone at 314-966-7778 and via fax at 314-909-1579.

Location: 11001 Manchester Rd, Kirkwood, MO, 63122-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114136058
Provider Name
Lisa D. Haines
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
11001 Manchester Rd, Kirkwood, MO, 63122-1243
Phone Number
314-966-7778
Fax Number
314-909-1579
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-1467596 01 MO TAX ID
institution
Provider Business Practice Location Address Details
Address
11001 Manchester Rd
City
Kirkwood
State
Missouri
Zip
63122-1243
Phone Number
314-966-7778
Fax Number
314-909-1579
person
Provider Business Mailing Address Details
Address
11001 Manchester Rd
City
Kirkwood
State
Missouri
Zip
63122-1243
Phone Number
314-966-7778
Fax Number
314-909-1579
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2003016572 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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