Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Hathaway DDS PA

Organization Dentist · NPI 1215016548

Evan Hathaway DDS PA is a Dentist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7677 Emerald St
Boise, ID 83704
Phone: (208) 377-1161
Fax: (208) 376-3979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D2040 (ID)

Record details

NPI number1215016548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Hathaway — President · (208) 377-1161
Other names Evan W Hathaway Dds
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7677 Emerald St, Boise, ID 83704

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