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

Glen Haisley Jr., DDS

Individual provider General Practice Dentistry · NPI 1427840461

Glen Haisley Jr., DDS is a General Practice Dentistry in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025
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.

See every abbreviation used in this directory →

Practice location Address checks out

5540 Johnston St
Lafayette, LA 70503-5138
Phone: (337) 247-7698
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 7689 (LA)

Record details

NPI number1427840461
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 17, 2025
Last updated in NPPESMay 17, 2025
Certification dateMay 17, 2025

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