THANE C. HISAW, DMD, PA
NPI 1376983213
Dentist - Pediatric Dentistry in Greensboro, NC

Q: What is Thane C. Hisaw, Dmd, PA's NPI number?

The NPI number for Thane C. Hisaw, Dmd, PA is 1376983213. It was assigned to this organization in the NPPES registry on June 25, 2013.

Q: What is Thane C. Hisaw, Dmd, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 25, 2013

504 E CORNWALLIS DR, STE. J, GREENSBORO, NC 27405(336) 378-1421 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Thane C. Hisaw, Dmd, Pa NPPES

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

THANE C. HISAW, DMD, PA (NPI 1376983213) is a healthcare organization registered as a pediatric dentistry in Greensboro, North Carolina and active in the NPI registry since June 2013. The organization lists Thane Hisaw, President, as its authorized official.

NPPES Registry Identity

NPI1376983213

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameTHANE C. HISAW, DMD, PA

Location Address504 E CORNWALLIS DR, STE. JGreensboro, NC 27405-5679

Mailing Address504 E Cornwallis Dr, Ste. JGreensboro, NC 27405-5679 · (336) 378-1421

Phone(336) 378-1421

Organization SubpartNo

Authorized OfficialThane HisawPresident · (907) 315-6812

Enumeration DateJune 25, 2013

Last NPPES UpdateJune 27, 2013

✔ NPI 1376983213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NC · 9508

Definition

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.

504 E CORNWALLIS DR, Greensboro, NC 27405

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THANE C. HISAW DMD

Dentist (Pediatric Dentistry)

504 E CORNWALLIS DR, STE. #J
GREENSBORO, NC 27405

Guilford County (336) 378-1421

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 Thane C. Hisaw, Dmd, PA's NPI number?

The NPI number for Thane C. Hisaw, Dmd, PA is 1376983213. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Thane C. Hisaw, Dmd, PA located?

Thane C. Hisaw, Dmd, PA is located at 504 E Cornwallis Dr Ste. J, Greensboro, NC 27405. The listed phone number is (336) 378-1421.

What is Thane C. Hisaw, Dmd, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Thane C. Hisaw, Dmd, PA was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.