DR. BRADLEY WYATT HATHAWAY D.D.S.
NPI 1952472029
Dentist - General Practice in North Little Rock, AR

Active since November 12, 2006
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114(501) 626-1830 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bradley Wyatt Hathaway D.d.s. NPPES

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

DR. BRADLEY WYATT HATHAWAY D.D.S. (NPI 1952472029) is an individual general practice provider in North Little Rock, Arkansas, licensed in Arkansas (3471) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1952472029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY WYATT HATHAWAYCredential: D.D.S.
Location Address2200 FORT ROOTS DRNorth Little Rock, AR 72114-1709
Mailing AddressP.o. Box 95125North Little Rock, AR 72190 · (501) 626-1830
Sole ProprietorYes
Enumeration DateNovember 12, 2006
Last NPPES UpdateJuly 18, 2013
NPI 1952472029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 3471
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.
2200 FORT ROOTS DR, North Little Rock, AR 72114

Other Providers at the Same Location NPPES 20

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

Physical Therapist
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Acute Care)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR, EXTENDED CARE 1D (118/NLR)
NORTH LITTLE ROCK, AR 72114
Social Worker (Clinical)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pharmacist (Psychiatric)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Dietitian, Registered
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Optometrist
2200 FORT ROOTS DR, 16L/NLR
NORTH LITTLE ROCK, AR 72114

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 Bradley Hathaway's NPI number?

The NPI number for Bradley Hathaway is 1952472029. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Where is Bradley Hathaway located?

Bradley Hathaway practices at 2200 Fort Roots Dr, North Little Rock, AR 72114. The listed phone number is (501) 626-1830.

What is Bradley Hathaway's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley Hathaway was last updated on July 18, 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.