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JENNIFER A HATHAWAY DDS PA
NPI 1972139764
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bryan, TX

Active since March 12, 2020
1719 BROADMOOR DR, BRYAN, TX 77802(979) 776-6884(979) 774-3008 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Mar 12, 2020 (2 updates tracked since 2020).

About Jennifer A Hathaway Dds Pa NPPES

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

JENNIFER A HATHAWAY DDS PA (NPI 1972139764) is a healthcare organization registered as a customized equipment in Bryan, Texas and active in the NPI registry since March 2020. The organization lists Stevie Fester, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1972139764
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameJENNIFER A HATHAWAY DDS PA
Location Address1719 BROADMOOR DRBryan, TX 77802-5210
Mailing Address1719 Broadmoor DrBryan, TX 77802-5210 · (979) 776-6884 · Fax (979) 774-3008
Phone(979) 776-6884
Fax(979) 774-3008
Organization SubpartNo
Authorized OfficialStevie FesterPractice Manager · (979) 776-6884
Enumeration DateMarch 12, 2020
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1972139764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
1719 BROADMOOR DR, Bryan, TX 77802
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Other Providers at the Same Location NPPES

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

DR. JENNIFER ANN HATHAWAY D.D.S.
Dentist (General Practice)
1719 BROADMOOR DR
BRYAN, TX 77802
Brazos County (979) 776-6884

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 A Hathaway Dds PA's NPI number?

The NPI number for Jennifer A Hathaway Dds PA is 1972139764. It was assigned to this organization in the NPPES registry on March 12, 2020.

Where is Jennifer A Hathaway Dds PA located?

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

What is Jennifer A Hathaway Dds PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Jennifer A Hathaway Dds PA was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.