Randy S. Hathorn D.M.D in Bassfield - Dentist
Randy S. Hathorn D.M.D - NPI 1528242351
Randy S. Hathorn D.M.D is a Dentist in Bassfield, Mississippi. Randy S. Hathorn D.M.D practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy S. Hathorn D.M.D is 1528242351. The last update date is 2007-12-28.
Randy S. Hathorn D.M.D's current location address is Po Box 549, Bassfield, Mississippi. You can contact this provider via phone number 6019435126 and fax number 6019436143. The mailing address for Randy S. Hathorn D.M.D is Po Box 549, Bassfield, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randy S. Hathorn D.M.D |
|---|---|
| Address | Po Box 549, Bassfield, Mississippi |
| Phone Number | 6019435126 |
| Fax Number | 6019436143 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hathorn S Randy |
| Credentials | D.M.D. |
| Telephone Number | 6019435126 |
NPI Number Detail
| NPI Number | 1528242351 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | Po Box 549 |
|---|---|
| City | Bassfield |
| State | Mississippi (MS) |
| Post Code | 394210549 |
| Phone Number | 6019435126 |
| Fax Number | 6019436143 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3361-05 |
|
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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3556870 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy S. Hathorn D.M.D by the Centers for Medicare & Medicaid Services?
The Randy S. Hathorn D.M.D has been issued the NPI (National Provider Identifier) 1528242351, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Randy S. Hathorn D.M.D?
The Randy S. Hathorn D.M.D is physically situated at Po Box 549, in the city of Bassfield, state of MS, with the postal code 394210549.
What is the Randy S. Hathorn D.M.D's specialty and taxonomy code?
The Randy S. Hathorn D.M.D's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Randy S. Hathorn D.M.D's 1528242351 issued?
The Randy S. Hathorn D.M.D's 1528242351 was issued on 2007-12-28.
As of what date was the information pertaining to Randy S. Hathorn D.M.D, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randy S. Hathorn D.M.D, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-28.
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