Evan Hathaway Dds Pa is a Dental Clinic in Eagle, Idaho. It is located at 1217 E Iron Eagle Dr, Eagle, ID and its contact number is 208-377-1161. The authorized person for Evan Hathaway Dds Pa is Evan Wayne Hathaway
who is Owner Pres Corporation of the clinic and their contact number is 208-378-9704. The primary license number for Evan Hathaway Dds Pa is D2040 (Dentist) in Idaho. Evan Hathaway Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Evan Hathaway Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Evan Hathaway Dds Pa
Specialization:
Dentistry
Clinic Address:
1217 E Iron Eagle Dr, Eagle, Idaho, 83616
Phone:
208-377-1161
Fax:
208-938-0567
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Evan Wayne Hathaway
Position:
Owner Pres Corporation
Contact Number:
208-378-9704
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Evan Hathaway Dds Pa clinic are as mentioned below.
NPI Number:
1851552194
NPI Enumeration Date:
19 Jun, 2008
NPI Last Update On:
19 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evan Hathaway Dds Pa are as mentioned below.
Specialization
License Number
State
Status
Dentist
D2040
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Evan Hathaway Dds Pa 1217 E Iron Eagle Dr, Eagle, Idaho
Zip:
83616
Phone Number:
208-377-1161
Fax Number:
208-938-0567
Patients can reach Evan Hathaway Dds Pa at 1217 E Iron Eagle Dr, Eagle, Idaho or can call to book an appointment on 208-377-1161. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.