David Hatheway DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6197 Issued in AL

Legal business name

DAVID HATHEWAY DMD LLC

Doing business as

Central Baldwin Dental Center

Practice address

18100 Hwy 104
18100 Hwy 104
Robertsdale, AL 36567

Phone

(251) 947-5940

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David A Hatheway, DMD

Title

Dentist /Owner

Phone

(251) 947-5940

Specialties & licenses 1

Addresses

Other names 1

• Central Baldwin Dental Center Doing business as

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1518315985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 HWY 104",
            "address_2": "18100 HWY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 HWY 104",
            "address_2": "18100 HWY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HATHEWAY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "HATHEWAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST /OWNER",
        "authorized_official_telephone_number": "251-947-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Baldwin Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.