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

Dr. Bradley Wyatt Hathaway, DDS

Individual provider General Practice Dentistry · NPI 1952472029

Dr. Bradley Wyatt Hathaway, DDS is a General Practice Dentistry in North Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2200 Fort Roots Dr
North Little Rock, AR 72114-1709
Phone: (501) 626-1830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3471 (AR)

Record details

NPI number1952472029
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 18, 2013

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