Individual provider · Type 1 NPI

Evan Hathaway, DDS

Dentist · Eagle, ID

NPI number 1033455019 Active

Practice location

1217 E Iron Eagle Dr
Eagle, ID 83616-6599

Fax (208) 938-0567

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD2040 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1033455019

Evan Hathaway, DDS's National Provider Identifier is 1033455019, issued on Dec 20, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Eagle, ID. The record was last updated on Dec 20, 2012.