DR. CHARITY KEONNA HALLER DMD NPI 1699323576

NPI Information

  • NPI: 1699323576
  • Provider Name: DR. CHARITY KEONNA HALLER, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 310 CONTINENTAL DRIVE
    SUTIE 106
    JAL, NM
    ZIP 88252
  • Phone: (753) 952-2095

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NPI Details

DR. Charity Keonna Haller, DMD is a general practice dentist in Jal, NM. The provider is 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. DR. Charity Keonna Haller, DMD NPI is 1699323576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 CONTINENTAL DRIVE
SUTIE 106
JAL, NM
ZIP 88252-525
Phone: (753) 952-2095
Fax: (575) 395-2205

The enumeration date for this NPI number is 9/3/2019 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223G0001XDentistGeneral PracticeDB-2024-0058NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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