Jennifer A Hathaway Dds Pa

LBN: Jennifer A Hathaway Dds Pa
Jennifer A Hathaway Dds Pa is an health care organization with primary practice located at 1719 Broadmoor Dr , Bryan TX 77802-5210. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Jennifer A Hathaway Dds Pa can be contacted via phone (979) 776-6884, or through Fester, Stevie via phone (979) 776-6884.

Contact Information

Primary practice address
1719 Broadmoor Dr Bryan TX 77802-5210
Phone: (979) 776-6884
Fax: (979) 774-3008
Website:
Map and Directions
Authorized official contact:
Name: Fester, Stevie Registered Dental Assistant (RDA)
Phone: (979) 776-6884

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1972139764
LBN Legal business name Jennifer A Hathaway Dds Pa
DBA Doing business as
Authorized official Fester, Stevie Registered Dental Assistant (RDA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2020
Last updated Mar 21st, 2023 - about 3 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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