Evan Hathaway, DDS

NPI 1033455019 · on the registry since 2012 · sole proprietor

Practice

Address: 1217 E Iron Eagle Dr
Eagle, ID 83616
Phone: (208) 377-1161
Fax: (208) 938-0567
Organisation at this address: Evan Hathaway Dds Pa
Christian Putegnat Dmd Pllc
Hathaway And Pelletier Family Dental Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho