Provider Demographics
NPI:1548258841
Name:HAYDEN, JOEL STEVEN (DDS)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:STEVEN
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3456 SHATTUCK RD STE 3
Mailing Address - Street 2:C/O DONALD J. SABOURIN, DDS, PLLC
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-7013
Mailing Address - Country:US
Mailing Address - Phone:989-792-8315
Mailing Address - Fax:989-792-3069
Practice Address - Street 1:3456 SHATTUCK RD STE 3
Practice Address - Street 2:C/O DONALD J. SABOURIN, DDS, PLLC
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-7013
Practice Address - Country:US
Practice Address - Phone:989-792-8315
Practice Address - Fax:989-792-3069
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2901017996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
381908328OtherGUARDIAN
381908328020OtherDENTAL BLUE
381908328OtherDENTEMAX
88170MIOtherOUTER DRIVE
88096MIOtherWADSWORTH
88123MIOtherBAYSIDE
MI1548258841Medicaid
381908328OtherMETLIFE
O1442136OtherUNITED CONCORDIA
D801095OtherBLUE CROSS
381908328OtherDENTAL HEALTH ALLIANCE
381908328OtherGOLDEN DENTAL PLANS
88171MIOtherCOMMERCE