Benjamin Wade Haslam, D.M.D.

General Practice Dentistry · Corvallis, OR

Individual Active NPI

NPI number 1104371566

Practice location

2222 NW Lincoln Ave
Corvallis, OR 97330-2503
Phone
(541) 754-4017

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NPI record

NPI
1104371566
Entity type
Individual (Type 1)
Enumeration date
August 15, 2016
Last updated
August 15, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10522 OR

About Dr. Haslam

Benjamin Wade Haslam, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2222 NW Lincoln Ave, Corvallis, OR 97330-2503. The NPI number 1104371566 was assigned on August 15, 2016 and the record was last updated on August 15, 2016.

Dr. Haslam lists a license in the registry: #D10522 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Wade Haslam, D.M.D.?

The NPI number is 1104371566.

What is the phone number of Dr. Haslam?

The phone number listed for the practice location is (541) 754-4017.

Where is Dr. Haslam located?

2222 NW Lincoln Ave, Corvallis, OR 97330-2503.

What is the taxonomy code for Dr. Haslam?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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