NPIMap

Organization Active NPI

Edwin M. White and Thomas W. Hathorn, a Professional Dental Corp.

Doing business as White & Hathorn Dental Corp.

  • General Practice Dentistry
  • Pineville, LA
National Provider Identifier
1407915655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3154 Issued in LA
Legal business name
EDWIN M. WHITE AND THOMAS W. HATHORN, A PROFESSIONAL DENTAL CORP.
Doing business as
White & Hathorn Dental Corp.
Practice address
402 Pinegrove Dr
Pineville, LA 71360-5726
Phone
(318) 448-3804
Fax
(318) 448-4880
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Wayne Hathorn, DDSNPI 1023241338
Title
Partner
Phone
(318) 448-3804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5576 LA
General Practice Dentistry 1223G0001X 2775 LA
General Practice Dentistry 1223G0001X 3154 LA Primary

Addresses

Primary practice location

402 Pinegrove Dr
Pineville, LA 71360-5726

Mailing address

402 Pinegrove Dr
Pineville, LA 71360-5726
Phone (318) 448-3804

Other names 1

  • White & Hathorn Dental Corp. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407915655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PINEGROVE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605726",
            "telephone_number": "318-448-3804",
            "fax_number": "318-448-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PINEGROVE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605726",
            "telephone_number": "318-448-3804",
            "fax_number": "318-448-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN M. WHITE AND THOMAS W. HATHORN, A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATHORN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-448-3804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2775",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White & Hathorn Dental Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • 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.