Individual provider · Type 1 NPI

John Lusk Hathaway, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Johnson City, TN

NPI number 1790798718 Active

Practice location

300 W Watauga Ave
Johnson City, TN 37604-5549

Call (423) 929-1126 Map

Fax (423) 929-8111

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5920 (TN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1790798718

John Lusk Hathaway, DDS's National Provider Identifier is 1790798718, issued on Aug 14, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2007.