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 EAGLE, Idaho. NPI 1851552194 is currently active in the NPPES registry. Verify at CMS.

Dentist · EAGLE, ID

Registration Details

NPI Number
1851552194
Provider Type
Organization
NPI Issued
Jun 19, 2008 (18.186381760076 yrs)
Last Updated
Jun 19, 2008
License
D2040 (ID)

Practice Information

Address
1217 E IRON EAGLE DR
EAGLE, ID, 83616
Browse ID providers · Browse ZIP 83616
Phone
2083771161
Fax
2089380567
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in EAGLE, ID

Name NPI
LIGHTHOUSE DENTAL GROUP 1174631287
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.