Randy S. Hathorn DMD
Randy S. Hathorn DMD is a Dentist in Bassfield, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
218 Gen Robert E Blount ABassfield, MS 39421-0549
Phone: (601) 943-5126
Fax: (601) 943-6143
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 2016-83 (MS) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 3361-05 (MS) |
Record details
| NPI number | 1528242351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Hathorn — Owner · (601) 943-5126 |
| NPI enumerated | December 28, 2007 |
| Last updated in NPPES | December 28, 2007 |
| Mailing address | Po Box 549, Bassfield, MS 39421-0549 |