Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charity Keonna Haller, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699323576

Dr. Charity Keonna Haller, DMD is a Student in an Organized Health Care Education/Training Program in Jal, New Mexico. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

310 Continental Drive Sutie 106
Jal, NM 88252-2525
Phone: (753) 952-2095
Fax: (575) 395-2205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DB-2024-0058 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699323576
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 3, 2019
Last updated in NPPESJune 24, 2024
Certification dateSeptember 16, 2022