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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1790798718

Dr. John Lusk Hathaway, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
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

300 W Watauga Ave
Johnson City, TN 37604-5549
Phone: (423) 929-1126
Fax: (423) 929-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 5920 (TN)

Record details

NPI number1790798718
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007
Mailing address300 W Watauga Ave, Johnson City, TN 37604-5549

Other providers in Johnson City