Individual provider · Type 1 NPI

Thane C. Hisaw, DMD

Pediatric Dentistry · Greensboro, NC

NPI number 1427180801 Active

Practice location

504 E Cornwallis Dr, Ste. #J
Greensboro, NC 27405-5679

Call (336) 378-1421 Map

Fax (336) 273-5065

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X9058 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1427180801

Thane C. Hisaw, DMD's National Provider Identifier is 1427180801, issued on Mar 12, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greensboro, NC. The record was last updated on Jun 27, 2013.