Thane C. Hisaw, Dmd, Pa is a Pediatric Dental Clinic in Greensboro, North Carolina. It is located at 504 E Cornwallis Dr, Ste. J, Greensboro, NC and its contact number is 336-378-1421. The authorized person for Thane C. Hisaw, Dmd, Pa is Dr. Thane Hisaw
who is President of the clinic and their contact number is 907-315-6812. The primary license number for Thane C. Hisaw, Dmd, Pa is 9508 (Pediatric Dentistry) in North Carolina.
Thane C. Hisaw, Dmd, Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Thane C. Hisaw, Dmd, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Thane C. Hisaw, Dmd, Pa |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 504 E Cornwallis Dr, Ste. J, Greensboro, North Carolina, 27405-5679 |
| Phone: | 336-378-1421 |
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: | Dr. Thane Hisaw |
| Position: | President |
| Contact Number: | 907-315-6812 |
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 Thane C. Hisaw, Dmd, Pa clinic are as mentioned below.
| NPI Number: | 1376983213 |
| NPI Enumeration Date: | 25 Jun, 2013 |
| NPI Last Update On: | 27 Jun, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thane C. Hisaw, Dmd, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 9508 | North Carolina | 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: | Thane C. Hisaw, Dmd, Pa 504 E Cornwallis Dr, Ste. J Greensboro, North Carolina |
| Zip: | 27405-5679 |
| Phone Number: | 336-378-1421 |
Patients can reach Thane C. Hisaw, Dmd, Pa at
504 E Cornwallis Dr, Ste. J, Greensboro, North Carolina or can
call to book an appointment on 336-378-1421.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.