Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARITY KEONNA HALLER, DMD
Active Sole ProprietorDR. CHARITY KEONNA HALLER, DMD is a General Dentistry healthcare provider located in JAL, New Mexico. NPI 1699323576 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JAL, NM
Registration Details
- NPI Number
- 1699323576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2019 (6.9363923403122 yrs)
- Last Updated
- Jun 24, 2024
- License
-
DB-2024-0058 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 CONTINENTAL DRIVESUTIE 106JAL, NM, 882522525Browse NM providers · Browse ZIP 88252
- Phone
- 7539522095
- Fax
- 5753952205
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.