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EVAN HATHAWAY DDS PA
NPI 1215016548
Dentist in Boise, ID

Active since November 06, 2006
7677 EMERALD ST, BOISE, ID 83704(208) 377-1161(208) 376-3979 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Hathaway Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN HATHAWAY DDS PA (NPI 1215016548), doing business as Evan W Hathaway Dds, is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since November 2006. The organization lists Evan Wayne Hathaway, President, as its authorized official.

NPPES Registry Identity

NPI1215016548
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVAN HATHAWAY DDS PA
Location Address7677 EMERALD STBoise, ID 83704
Mailing Address7677 Emerald StBoise, ID 83704 · (208) 377-1161 · Fax (208) 376-3979
Phone(208) 377-1161
Fax(208) 376-3979
Organization SubpartNo
Authorized OfficialEvan Wayne HathawayPresident · (208) 377-1161
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215016548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D2040
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7677 EMERALD ST, Boise, ID 83704
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Other Names 1

Former Legal Business NameEvan W Hathaway Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Hathaway Dds PA's NPI number?

The NPI number for Evan Hathaway Dds PA is 1215016548. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider was formerly known as Evan W Hathaway Dds.

Where is Evan Hathaway Dds PA located?

Evan Hathaway Dds PA is located at 7677 Emerald St, Boise, ID 83704. The listed phone number is (208) 377-1161.

What is Evan Hathaway Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Evan Hathaway Dds PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.