Stephan L. Hatch, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2188 Issued in ME

Legal business name

STEPHAN L. HATCH, DMD

Practice address

138 Harrison Rd
Bridgton, ME 04009-4748

Phone

(207) 647-8052

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephan Lindsay Hatch, DMD

Title

Owner

Phone

(207) 647-8052

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376759415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HARRISON RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094748",
            "telephone_number": "207-647-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HARRISON RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094748",
            "telephone_number": "207-647-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN L. HATCH, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-647-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannon Alyssa Kane Slayton, MD
• Jay W Sprinkle, LCSW
• Kimberly Ann Struck, LCSW
• Dennis J Sullivan, M.D.
• Stewart Estabrook Sulloway, D.C.
• Jane Lynn Sylvestre, DCN, RDN, CSOWM, LDN
• Kristie L Taylor-Zimmel, LCSW

• General Practice Dentistry in Bridgton, ME
• Providers in Bridgton, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.