DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVAN HATHAWAY DDS PA

Active Organization

EVAN HATHAWAY DDS PA is a Dentist organization located in BOISE, Idaho. NPI 1215016548 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOISE, ID

Registration Details

NPI Number
1215016548
Provider Type
Organization
NPI Issued
Nov 6, 2006 (19.744151896775 yrs)
Last Updated
Aug 22, 2020
License
D2040 (ID)

Practice Information

Address
7677 EMERALD ST
BOISE, ID, 83704
Browse ID providers · Browse ZIP 83704
Phone
2083771161
Fax
2083763979
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.