Provider Demographics
NPI:1285892976
Name:HAYS, PATRICK RAY (DDS)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:RAY
Last Name:HAYS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3828
Mailing Address - Country:US
Mailing Address - Phone:406-388-8006
Mailing Address - Fax:
Practice Address - Street 1:412 W MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3828
Practice Address - Country:US
Practice Address - Phone:406-388-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1417122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist