Individual provider · Type 1 NPI

Bradley Wyatt Hathaway, DDS

General Practice Dentistry · North Little Rock, AR

NPI number 1952472029 Active

Practice location

2200 Fort Roots Dr
North Little Rock, AR 72114-1709

Mailing address

P.o. Box 95125
North Little Rock, AR 72190

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3471 (AR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1952472029

Bradley Wyatt Hathaway, DDS's National Provider Identifier is 1952472029, issued on Nov 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Little Rock, AR. The record was last updated on Jul 18, 2013.