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

Thane C. Hisaw, DMD

Individual provider Pediatric Dentistry · NPI 1427180801

Thane C. Hisaw, DMD is a Pediatric Dentistry in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

504 E Cornwallis Dr Ste #J
Greensboro, NC 27405-5679
Phone: (336) 378-1421
Fax: (336) 273-5065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9058 (NC)

Record details

NPI number1427180801
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJune 27, 2013

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