Haley, Spencer A

Haley, Spencer A is an sole proprietor health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Haley, Spencer A can be contacted via phone (615) 322-3000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-1501
Phone: (615) 322-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 07219 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS000007219 Tennessee

Profile Details

NPI number 1275531972
LBN Legal business name Haley, Spencer A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Sep 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275531972 NPPES
Tennessee MEDICAID 3226504

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