Individual provider · Type 1 NPI

Glen Haisley Jr., DDS

General Practice Dentistry · Lafayette, LA

NPI number 1427840461 Active

About NPI 1427840461

Glen Haisley Jr., DDS's National Provider Identifier is 1427840461, issued on May 17, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lafayette, LA. The record was last updated on May 17, 2025.