Provider Demographics
NPI:1730811126
Name:MCDOUGAL, HAYLEY ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:ELIZABETH
Last Name:MCDOUGAL
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 1:2720 LERKIM LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6907
Mailing Address - Country:US
Mailing Address - Phone:214-244-0911
Mailing Address - Fax:
Practice Address - Street 1:2616 N PARK AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-2838
Practice Address - Country:US
Practice Address - Phone:405-275-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-26
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist