EVAN HATHAWAY DDS PA
NPI 1851552194
Dentist in Eagle, ID

Active since June 19, 2008
1217 E IRON EAGLE DR, EAGLE, ID 83616(208) 377-1161(208) 938-0567 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 23, 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 1851552194) is a healthcare organization registered as a dentist in Eagle, Idaho and active in the NPI registry since June 2008. The organization lists Evan Wayne Hathaway, Owner Pres Corporation, as its authorized official.

NPPES Registry Identity

NPI1851552194
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVAN HATHAWAY DDS PA
Location Address1217 E IRON EAGLE DREagle, ID 83616
Mailing Address1217 E Iron Eagle DrEagle, ID 83616 · (208) 377-1161 · Fax (208) 938-0567
Fax(208) 938-0567
Organization SubpartNo
Authorized OfficialEvan Wayne HathawayOwner Pres Corporation · (208) 378-9704
Enumeration DateJune 19, 2008
NPI 1851552194 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.
1217 E IRON EAGLE DR, Eagle, ID 83616

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 4

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

Dentist
1217 E IRON EAGLE DR
EAGLE, ID 83616
Clinic/Center (Dental)
1217 E IRON EAGLE DR
EAGLE, ID 83616
Dentist
1217 E IRON EAGLE DR
EAGLE, ID 83616
Clinic/Center (Dental)
1217 E IRON EAGLE DR
EAGLE, ID 83616

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 1851552194. It was assigned to this organization in the NPPES registry on June 19, 2008.

Where is Evan Hathaway Dds PA located?

Evan Hathaway Dds PA is located at 1217 E Iron Eagle Dr, Eagle, ID 83616. 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 June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.