Alan D. Hathaway D.D.S. P.C.

LBN: Alan D. Hathaway D.D.S. P.C.
Alan D. Hathaway D.D.S. P.C. is an health care organization with primary practice located at 1333 W Lombard St , Davenport IA 52804. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Alan D. Hathaway D.D.S. P.C. can be contacted via phone (563) 322-1451, or through Hathaway, Alan D. via phone (563) 322-1451.

Contact Information

Primary practice address
1333 W Lombard St Davenport IA 52804
Phone: (563) 322-1451
Fax: (563) 323-3688
Website:
Map and Directions
Authorized official contact:
Name: Hathaway, Alan D. Doctor of Dental Surgery (DDS)
Phone: (563) 322-1451

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4555 Iowa

Profile Details

NPI number 1003949447
LBN Legal business name Alan D. Hathaway D.D.S. P.C.
DBA Doing business as
Authorized official Hathaway, Alan D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003949447 NPPES
Iowa MEDICAID 0048132

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