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

Dr. Theodore Booth Haley, DDS

Individual provider Dentist · NPI 1902273782

Dr. Theodore Booth Haley, DDS is a Dentist in Oakland, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

298 Grand Ave Ste 200
Oakland, CA 94610-4895
Phone: (510) 452-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 64807 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 64807 (CA)

Record details

NPI number1902273782
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 27, 2015
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address298 Grand Ave Ste 200, Oakland, CA 94610-4895

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