Provider Demographics
NPI:1487069977
Name:FRAME, HALEY LEE (DDS)
Entity type:Individual
Prefix:MS
First Name:HALEY
Middle Name:LEE
Last Name:FRAME
Suffix:
Gender:F
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:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:IN
Mailing Address - Zip Code:47355-0035
Mailing Address - Country:US
Mailing Address - Phone:765-874-2571
Mailing Address - Fax:
Practice Address - Street 1:202 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:IN
Practice Address - Zip Code:47355
Practice Address - Country:US
Practice Address - Phone:765-874-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012158A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist