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

Hathaway and Pelletier Family Dental PLLC

Organization Dental Clinic/Center · NPI 1790387959

Hathaway and Pelletier Family Dental PLLC is a Dental Clinic/Center in Eagle, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1217 E Iron Eagle Dr
Eagle, ID 83616-6599
Phone: (208) 377-1161
Fax: (208) 938-0567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790387959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Tuinei — Credentialing Manager · (602) 750-6897
NPI enumeratedNovember 12, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address1217 E Iron Eagle Dr, Eagle, ID 83616-6599

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