John H Hatfield, DDS
Individual provider Active NPI Dentist · Camden, DE
NPI 1568569366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1568569366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 949 (DE)
- Practice address
- 199 South St
Camden Dentistry LLC
Camden, DE 19934-1300 - Phone
- (302) 697-3125
- Fax
- (302) 697-3640
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 949 | DE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvis Burris Cosmetic and Family Dentistry LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 949 | DE | Yes |
Addresses
Primary practice location
199 South St
Camden Dentistry LLC
Camden, DE 19934-1300
Mailing address
199 South St
Camden Dentistry LLC
Camden, DE 19934-1300
Phone (302) 697-3125
Other providers in Camden, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.