DR. JENNIFER ANN HATHAWAY D.D.S.
NPI 1477558815
Dentist - General Practice in Bryan, TX

Active since June 14, 2005
1719 BROADMOOR DR, BRYAN, TX 77802(979) 776-6884(979) 774-3008 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Ann Hathaway D.d.s. NPPES

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

DR. JENNIFER ANN HATHAWAY D.D.S. (NPI 1477558815) is an individual general practice provider in Bryan, Texas, licensed in Texas (17025) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1477558815
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER ANN HATHAWAYCredential: D.D.S.
Location Address1719 BROADMOOR DRBryan, TX 77802-5210
Mailing Address1719 Broadmoor DrBryan, TX 77802-5210 · (979) 776-6884 · Fax (979) 774-3008
Fax(979) 774-3008
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
NPI 1477558815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 17025
Definition

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.

1719 BROADMOOR DR, Bryan, TX 77802

Accepted Insurance

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
1719 BROADMOOR DR
BRYAN, TX 77802

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 Jennifer Hathaway's NPI number?

The NPI number for Jennifer Hathaway is 1477558815. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Jennifer Hathaway located?

Jennifer Hathaway practices at 1719 Broadmoor Dr, Bryan, TX 77802. The listed phone number is (979) 776-6884.

What is Jennifer Hathaway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jennifer Hathaway accept?

Health plans from Baylor Scott and White Health Plan list Jennifer Hathaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Hathaway was last updated on March 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.