Evan W Hathaway Dds

LBN: Evan Hathaway Dds Pa
Evan W Hathaway Dds is an health care organization with primary practice located at 7677 Emerald St , Boise ID 83704. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Evan Hathaway Dds Pa can be contacted via phone (208) 377-1161, or through Hathaway, Evan Wayne via phone (208) 377-1161.

Contact Information

Primary practice address
7677 Emerald St Boise ID 83704
Phone: (208) 377-1161
Fax: (208) 376-3979
Website:
Map and Directions
Authorized official contact:
Name: Hathaway, Evan Wayne Doctor of Dental Surgery (DDS)
Phone: (208) 377-1161

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D2040 Idaho

Profile Details

NPI number 1215016548
LBN Legal business name Evan Hathaway Dds Pa
DBA Doing business as Evan W Hathaway Dds
Authorized official Hathaway, Evan Wayne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 22nd, 2020 - about 6 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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