John Lusk Hathaway in Johnson City - Orthodontics And Dentofacial Orthopedics
John Lusk Hathaway - NPI 1790798718
John Lusk Hathaway is a Orthodontics And Dentofacial Orthopedics in Johnson City, Tennessee. John Lusk Hathaway practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Lusk Hathaway is 1790798718. The last update date is 2007-07-08.
John Lusk Hathaway's current location address is 300 W Watauga Ave, Johnson City, Tennessee. You can contact this provider via phone number 4239291126 and fax number 4239298111. The mailing address for John Lusk Hathaway is 300 W Watauga Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lusk Hathaway |
|---|---|
| Address | 300 W Watauga Ave, Johnson City, Tennessee |
| Phone Number | 4239291126 |
| Fax Number | 4239298111 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790798718 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 W Watauga Ave |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376045549 |
| Phone Number | 4239291126 |
| Fax Number | 4239298111 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5920 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7282 | TN | TENNCARE/DORAL DENTAL |
Post Comment/ Review Below
What is the unique identification code assigned to John Lusk Hathaway by the Centers for Medicare & Medicaid Services?
The John Lusk Hathaway has been issued the NPI (National Provider Identifier) 1790798718. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Lusk Hathaway?
The John Lusk Hathaway is situated at 300 W Watauga Ave, in the city of Johnson City, state of TN, with the zip code 376045549.
What is the area of specialization for John Lusk Hathaway, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Lusk Hathaway is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did John Lusk Hathaway receive its 1790798718 assignment from the Centers for Medicare & Medicaid Services?
The John Lusk Hathaway was assigned its 1790798718 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to John Lusk Hathaway, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Lusk Hathaway, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.