Thane C. Hisaw
DMD | Pediatric Dentist
504 E Cornwallis Dr, Ste. #j, Greensboro
North Carolina, 27405-5679
336-378-1421 336-273-5065
Maps & DirectionsThane C. Hisaw is a Greensboro, North Carolina based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Thane C. Hisaw is
9058 for Pediatric Dentistry in North Carolina. His current practice location is
504 E Cornwallis Dr, Ste. #j, Greensboro. Patients can reach him at
336-378-1421.
Thane C. Hisaw 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 Profile:
Thane C. Hisaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Thane C. Hisaw |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 504 E Cornwallis Dr, Ste. #j, Greensboro,
North Carolina, 27405-5679 |
| Phone: | 336-378-1421 |
| Fax: | 336-273-5065 |
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 are as mentioned below.
| NPI Number: | 1427180801 |
| NPI Enumeration Date: | 12 Mar, 2007 |
| NPI Last Update On: | 27 Jun, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thane C. Hisaw are as mentioned below.
| License Number | Specialization | State | Status | |
| 9058 | Pediatric Dentistry | North Carolina | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 504 E Cornwallis Dr, Ste. #j
Greensboro, North Carolina |
| Zip: | 27405-5679 |
| Phone Number: | 336-378-1421 |
| Fax Number: | 336-273-5065 |
Patients can reach Thane C. Hisaw 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.