Jennifer Ann Hathaway in Bryan - General Practice
Jennifer Ann Hathaway - NPI 1477558815
Jennifer Ann Hathaway is a General Practice in Bryan, Texas. Jennifer Ann Hathaway practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer Ann Hathaway is 1477558815. The last update date is 2020-03-12.
Jennifer Ann Hathaway's current location address is 1719 Broadmoor Dr, Bryan, Texas. You can contact this provider via phone number 9797766884 and fax number 9797743008. The mailing address for Jennifer Ann Hathaway is 1719 Broadmoor Dr, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ann Hathaway |
|---|---|
| Address | 1719 Broadmoor Dr, Bryan, Texas |
| Phone Number | 9797766884 |
| Fax Number | 9797743008 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477558815 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2020-03-12 |
Provider Mailing Address Detail
| Address | 1719 Broadmoor Dr |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 7780252100 |
| Phone Number | 9797766884 |
| Fax Number | 9797743008 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17025 |
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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. |
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What is the unique 10-digit identification code issued to Jennifer Ann Hathaway by the Centers for Medicare & Medicaid Services?
The Jennifer Ann Hathaway has been assigned the NPI (National Provider Identifier) 1477558815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jennifer Ann Hathaway's facilities are geographically located?
The facilities of Jennifer Ann Hathaway are physically situated at the following location: 1719 Broadmoor Dr, Bryan, TX, 7780252100.
What is the area of specialization for Jennifer Ann Hathaway, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Ann Hathaway is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Jennifer Ann Hathaway receive its 1477558815 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Ann Hathaway was assigned its 1477558815 by the Centers for Medicare & Medicaid Services on 2005-06-14.
When was the information pertaining to Jennifer Ann Hathaway most recently updated or revised?
The details related to Jennifer Ann Hathaway, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-12.