Evan Hathaway DDS PA
Evan Hathaway DDS PA is a Dentist in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1217 E Iron Eagle DrEagle, ID 83616
Phone: (208) 377-1161
Fax: (208) 938-0567
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1851552194 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evan Hathaway — Owner Pres Corporation · (208) 378-9704 |
| NPI enumerated | June 19, 2008 |
| Last updated in NPPES | June 19, 2008 |
| Mailing address | 1217 E Iron Eagle Dr, Eagle, ID 83616 |
Other providers in Eagle
-
Cwcd, PC
325 E Shore Dr Ste 100, Eagle, ID 83616 · (208) 323-8545
-
Dr. Greg Ron Davis, DDS
467 S Rivershore Ln, Eagle, ID 83616-4978 · (208) 939-9235
-
Dr. Evan Hathaway, DDS
1217 E Iron Eagle Dr, Eagle, ID 83616-6599 · (208) 377-1161
-
Lighthouse Dental Group
1177 N Eagle Rd, Eagle, ID 83616 · (208) 939-3010
-
Dr. Samuel Petersen, DMD
450 W State St Ste 115, Eagle, ID 83616-7055 · (208) 370-5203
-
Christian Putegnat
1217 E Iron Eagle Dr, Eagle, ID 83616-6599 · (208) 228-7093