Provider Demographics
NPI:1992887707
Name:HAYDEN, TIMOTHY ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ARTHUR
Last Name:HAYDEN
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 1:121 NE 18TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-4697
Mailing Address - Country:US
Mailing Address - Phone:515-964-5700
Mailing Address - Fax:515-965-7922
Practice Address - Street 1:121 NE 18TH ST STE C
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-4697
Practice Address - Country:US
Practice Address - Phone:515-964-5700
Practice Address - Fax:515-965-7922
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice