Randy S. Hathorn D.m.d is a Dental Clinic in Bassfield, Mississippi. It is located at 218 Gen Robert E Blount, A, Bassfield, MS and its contact number is 601-943-5126. The authorized person for Randy S. Hathorn D.m.d is Randy S Hathorn
who is Owner of the clinic and their contact number is 601-943-5126. The primary license number for Randy S. Hathorn D.m.d is 2016-83 (Dentist) in Mississippi. Randy S. Hathorn D.m.d 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:
Randy S. Hathorn D.m.d Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Randy S. Hathorn D.m.d
Specialization:
Dentistry
Clinic Address:
218 Gen Robert E Blount, A, Bassfield, Mississippi, 39421-0549
Phone:
601-943-5126
Fax:
601-943-6143
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:
Randy S Hathorn
Position:
Owner
Contact Number:
601-943-5126
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 Randy S. Hathorn D.m.d clinic are as mentioned below.
NPI Number:
1528242351
NPI Enumeration Date:
28 Dec, 2007
NPI Last Update On:
28 Dec, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randy S. Hathorn D.m.d are as mentioned below.
Specialization
License Number
State
Status
Dentist
2016-83
Mississippi
Primary
Dentist
3361-05
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
03556870
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Randy S. Hathorn D.m.d Po Box 549, Bassfield, Mississippi
Zip:
39421-0549
Phone Number:
601-943-5126
Fax Number:
601-943-6143
Patients can reach Randy S. Hathorn D.m.d at 218 Gen Robert E Blount, A, Bassfield, Mississippi or can call to book an appointment on 601-943-5126. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.