Most Relevant Information
Provider Data
| NPI Number: | 1003313594 |
| Provider Name: | CODY HAYES MUMMA DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 229 |
Most Important Dates
| Enumeration Date: | 04/10/2018 |
| Last Updated: | 07/15/2022 |
Provider Practice Location
4716 W URBANA ST
BROKEN ARROW
OK
740126162
Practice Location Phone/Fax
| Phone: | 9184495800 |
| Fax: | 9184558958 |
Provider Mailing Location
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
115541859
Provider Mailing Phone/Fax
| Phone: | 5165728774 |
| Fax: |